Provider Demographics
NPI:1093210783
Name:MCCARTER, KELLY MELANA (MD)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:MELANA
Last Name:MCCARTER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1 DANIEL BURNHAM CT STE 110C
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-0456
Mailing Address - Country:US
Mailing Address - Phone:415-964-5618
Mailing Address - Fax:415-964-5619
Practice Address - Street 1:1 DANIEL BURNHAM CT STE 110C
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-0456
Practice Address - Country:US
Practice Address - Phone:415-964-5618
Practice Address - Fax:415-964-5619
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA202148207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology