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Organization
PETER R. KELLY M.D. INC
Active
Organization
PETER R. KELLY M.D. INC
Active
Parent organization
PETER R. KELLY M.D.
Other names
PETER R. KELLY M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETER R. KELLY M.D.
Authorized official
KARIN LONI SPENCE (OFFICE MANAGER)
(619) 435-0186
Entity
Organization
Contact information
Practice address
1224 10TH ST STE 205, CORONADO, CA 92118-3420
(619) 435-0186
(619) 435-0594
Mailing address
1224 10TH ST STE 205, CORONADO, CA 92118-3420
(619) 435-0186
(619) 435-0594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G29430
CA
Other
Enumeration date
03/09/2018
Last updated
06/16/2018
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