Individual
JOHN RICE KELSOE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 8201, SAN DIEGO, CA 92103-8201
(858) 534-5345
(619) 543-3183
Mailing address
14275 RECUERDO DR, DEL MAR, CA 92014-2955
(858) 794-8954
(858) 534-5527
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G50102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G501021
—
CA
Enumeration date
05/04/2006
Last updated
07/08/2007
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