Individual
KATHERINE ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2496 BAUER RD, SAN DIEGO, CA 92126
(619) 881-9011
Mailing address
2496 BAUER RD, SAN DIEGO, CA 92126
(619) 881-9011
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101283818
VA
Other
Enumeration date
05/02/2023
Last updated
06/30/2025
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