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

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