1. Home
  2. Directory
  3. California
  4. Modesto
  5. Specialist
  6. NPI Profile

SUSAN ELIZABETH KELLY
NPI 1235310061
Specialist in Modesto, CA

Active since November 20, 2007
1601 YOSEMITE BLVD, SUITE A, MODESTO, CA 95354(209) 341-1824(209) 523-1296 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Elizabeth Kelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN ELIZABETH KELLY (NPI 1235310061) is an individual specialist in Modesto, California and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1235310061
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSUSAN ELIZABETH KELLY
Location Address1601 YOSEMITE BLVD, SUITE AModesto, CA 95354-2800
Mailing Address3709 Bridgeford Ln, Apt. #71Modesto, CA 95356-1658 · (209) 521-5322
Phone(209) 341-1824
Fax(209) 523-1296
Sole ProprietorNo
Enumeration DateNovember 20, 2007
✔ NPI 1235310061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1601 YOSEMITE BLVD, Modesto, CA 95354
Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTURO C FLORES
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
RAEME EVELYN BOSQUEZ
Counselor
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
CYNTHIA JOSEPHINE FAVELA
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
MS. DIANE CRAYTON FNP
Nurse Practitioner (Family)
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
GABRIELLA CORTES
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
YVONNE GARZA
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
JULIE DENISE COLLINS LPT
Counselor
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
JOHN BLACK VIII
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Kelly's NPI number?

The NPI number for Susan Kelly is 1235310061. It was assigned to this individual provider in the NPPES registry on November 20, 2007.

Where is Susan Kelly located?

Susan Kelly practices at 1601 Yosemite Blvd Suite A, Modesto, CA 95354. The listed phone number is (209) 341-1824.

What is Susan Kelly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Susan Kelly was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.