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Organization
ELEANOR KELLY, MD, INC
Active
Organization
ELEANOR KELLY, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELEANOR MARIE KELLY MD (DIRECTOR)
(949) 735-0174
Entity
Organization
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 735-0174
(949) 854-7143
Mailing address
5100 BIRCH ST, 2ND FLOOR, NEWPORT BEACH, CA 92660-2160
(949) 735-0174
(949) 854-7143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A064544
CA
Other
Enumeration date
02/13/2007
Last updated
12/28/2015
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