Organization
KOE MEDICAL CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ELMORE MD (PRESIDENT)
(773) 398-6867
Entity
Organization
Contact information
Practice address
5680 TRINIDAD WAY, SAN DIEGO, CA 92114-5310
(773) 398-6867
Mailing address
2754 IMPERIAL AVE, SAN DIEGO, CA 92102-4031
(773) 398-6867
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A105818
CA
Other
Enumeration date
02/18/2017
Last updated
02/18/2017
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