Individual
DANIEL F KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1328 22ND ST, 3RD FLOOR, SANTA MONICA, CA 90404-2032
(310) 202-6204
Mailing address
1328 22ND ST, 3RD FLOOR, SANTA MONICA, CA 90404-2032
(310) 202-6204
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G77318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G773180
—
CA
Enumeration date
08/10/2006
Last updated
04/04/2008
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