Organization
KELLEY SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN THOMAS KELLEY M.D. (PRESIDENT)
(951) 296-6676
Entity
Organization
Contact information
Practice address
40949 WINCHESTER RD, TEMECULA, CA 92591-6031
(951) 296-6676
(951) 296-6675
Mailing address
40949 WINCHESTER RD, TEMECULA, CA 92591-6031
(951) 296-6676
(951) 296-6675
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A78913
CA
Other
Enumeration date
07/31/2008
Last updated
02/20/2014
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