Peter R. Kelly M.d. INC

NPI #1699278267 in Coronado, California

Provider Information

NPI Number: 1699278267
Entity Type: Organization
Organization Name: Peter R. Kelly M.d. INC
Subpart: Yes (part of a larger organization)
Parent Organization: PETER R. KELLY M.D.
Primary Specialty: Internal Medicine
Enumeration Date: Mar 9, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 1224 10TH ST STE 205
City: Coronado
State: California
ZIP Code: 92118-3420
Phone: (619) 435-0186

Authorized Official

Name: KARIN LONI SPENCE
Title: OFFICE MANAGER
Phone: (619) 435-0186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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