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Organization
KELLY K MCCANN MD INC
Active
Organization
KELLY K MCCANN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY K MCCANN MD (MD)
(949) 574-5800
Entity
Organization
Contact information
Practice address
1831 ORANGE AVE STE C, COSTA MESA, CA 92627-2839
(949) 574-5800
(949) 612-2725
Mailing address
1831 ORANGE AVE STE C, COSTA MESA, CA 92627-2839
(949) 574-5800
(949) 612-2725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A101853
CA
208000000X
Pediatrics Physician
A101853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I12587
UPIN
OR
Enumeration date
01/14/2008
Last updated
02/28/2014
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