Scott Andrew Kelly, SOIDC
NPI #1548891526 in San Clemente, California
Provider Information
- NPI Number
- 1548891526
- Entity Type
- Individual
- Name
- Scott Andrew Kelly, SOIDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SOIDC
- Enumeration Date
- Jan 29, 2020
- Last Updated
- Jan 29, 2020
Practice Location
- Address
- 242 AVENIDA PELAYO UNIT A
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-5033
- Phone
- (773) 491-2746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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