Individual
KEVIN M. CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 455-9100
(858) 784-5933
Mailing address
FILE # 54433, LOS ANGELES, CA 90074-0001
(858) 784-5767
(858) 784-5933
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A87765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A877650
—
CA
Enumeration date
05/17/2006
Last updated
11/30/2021
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