Individual
DR. KELLY SHANNON KEEFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3969 4TH AVE, SUITE 301, SAN DIEGO, CA 92103
(619) 532-6702
(619) 532-7272
Mailing address
3969 4TH AVE, SUITE 301, SAN DIEGO, CA 92103
(619) 291-6191
(619) 291-0049
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A48069
CA
207ZP0101X
Anatomic Pathology Physician
A48069
CA
Other
Enumeration date
03/27/2006
Last updated
11/18/2024
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