Kelleen Bosch DO Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A9211 Issued in CA

Legal business name

KELLEEN BOSCH DO INC

Practice address

1374 E Alluvial Ave
Fresno, CA 93720-2608

Phone

(559) 981-2600

Fax

(559) 981-2610

NPI assigned

Mar 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary Kathleen Hansen

Title

Administrator

Phone

(559) 981-2600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1306018452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 E ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202608",
            "telephone_number": "559-981-2600",
            "fax_number": "559-981-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 E ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202608",
            "telephone_number": "559-981-2600",
            "fax_number": "559-981-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEEN BOSCH DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-981-2600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A9211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Keiscome
• Keiser Corporation
• Keith O Kielmeyer MD Professional Corporation
• Shirley Marie Keith, LCSW
• Eyup S. Keles, MD
• Robert S. Kelleher, NP
• Ashley Luann Keller
• Dawn Elaine Keller, LMFT
• Gina Marie Keller, LMFT
• Nichole Benkula Keller

• Obstetrics & Gynecology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.