Individual
THOMAS GERALD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 WASHINGTON ST, STE #300, SAN DIEGO, CA 92103-2213
(619) 297-5437
(619) 297-4567
Mailing address
550 WASHINGTON ST, STE #300, SAN DIEGO, CA 92103-2213
(619) 297-5437
(619) 297-4567
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
A88790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A887900
—
CA
Enumeration date
08/23/2006
Last updated
12/02/2021
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