Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellyrae Brown

Individual provider Contractor · NPI 1689072316

Kellyrae Brown is a Contractor in Folsom, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

1900 Prairie City Rd
Folsom, CA 95630-9501
Phone: (916) 370-8154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 55213 (CA)

Record details

NPI number1689072316
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 11, 2014
Last updated in NPPESDecember 11, 2014
Mailing address2404 Loma Vista Dr, Sacramento, CA 95825-0310

Other providers in Folsom