Individual
KELLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 GARNET AVE STE 101, SAN DIEGO, CA 92109-3771
(858) 224-7970
Mailing address
6699 ALVARADO RD STE 2100, SAN DIEGO, CA 92120-5238
(619) 229-3929
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18248
CA
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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