# JON P KELLY A MEDICAL COPR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CARLSBAD ORTHOPAEDIC GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578868931
- **Authorized official:** DR. JON P KELLY MD (OWNER)
- **Authorized official phone:** (760) 434-0033

## Contact information

- **Practice address:** 2777 JEFFERSON ST, SUITE 100, CARLSBAD, CA 92008-1743
- **Practice address phone:** (760) 434-0033
- **Practice address fax:** (760) 434-0032
- **Mailing address:** PO BOX 390005, SAN DIEGO, CA 92149-0005
- **Mailing address phone:** (619) 746-6530
- **Mailing address fax:** (619) 746-6528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A45013 | CA | Yes |

## Other

- **Enumeration date:** 01/17/2011
- **Last updated:** 01/17/2011