Individual
DR. KELLY DEAN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 FROST ST STE 200, SAN DIEGO, CA 92123-2776
(858) 278-8300
(858) 278-1708
Mailing address
7910 FROST ST STE 200, SAN DIEGO, CA 92123-2776
(858) 278-8300
(858) 278-1708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A101851
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
A101851
CA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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