Shawn Kelly Dds Inc
Customized Equipment
700 Sunrise Ave, Suite E, Roseville
California, 95661-4561
916-773-1122 916-773-3528
Shawn Kelly Dds Inc may be a DME supplier for Medicare equipment and products.Shawn Kelly Dds Inc is a Customized Equipment in Roseville, California. It is located at 700 Sunrise Ave, Suite E, Roseville and it's customer support contact number is 916-773-1122. The authorized person of Shawn Kelly Dds Inc is Dr. Randall Shawn Kelly, D.D.S. who is Owner of this DME and his contact number is 916-773-1122. Active license number of Shawn Kelly Dds Inc is 29984 for Customized Equipment in California.
Shawn Kelly Dds Inc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Shawn Kelly Dds Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Shawn Kelly Dds Inc |
| Type: | Customized Equipment |
| Location: | 700 Sunrise Ave, Suite E, Roseville, California, 95661-4561 |
| Phone: | 916-773-1122 |
| Fax: | 916-773-3528 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Randall Shawn Kelly |
| Credentials: | D.D.S. |
| Position: | Owner |
| Contact Number: | 916-773-1122 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1912441064 |
| NPI Enumeration Date: | 08 Dec, 2016 |
| NPI Last Update On: | 05 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shawn Kelly Dds Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 29984 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 700 Sunrise Ave, Suite E Roseville, California |
| Zip: | 95661-4561 |
| Phone Number: | 916-773-1122 |
| Fax Number: | 916-773-3528 |
Patients can reach Shawn Kelly Dds Inc at
700 Sunrise Ave, Suite E, Roseville, California or can
call on customer care at 916-773-1122.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.