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Kellyrae Brown

NPI 1689072316ActiveIndividual· Contractor· Folsom, CA

Contractor in Folsom, California, licensed in CA, with an NPI issued in December 2014.

Overview

NPI1689072316
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedDec 11, 2014
Last updated in NPPESDec 11, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X55213CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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