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Individual

DR. KELLY L VANDENHEUVEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2918 FIFTH AVE, SUITE 100, SAN DIEGO, CA 92103-5910
(619) 688-0770
(619) 688-0987
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(619) 688-0770
(619) 688-0987

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A103948
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A103948
CA

Other

Enumeration date
04/22/2008
Last updated
03/17/2020
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