Organization
JON P KELLY A MEDICAL COPR
Active
Other names
CARLSBAD ORTHOPAEDIC GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON P KELLY MD (OWNER)
(760) 434-0033
Entity
Organization
Contact information
Practice address
2777 JEFFERSON ST, SUITE 100, CARLSBAD, CA 92008-1743
(760) 434-0033
(760) 434-0032
Mailing address
PO BOX 390005, SAN DIEGO, CA 92149-0005
(619) 746-6530
(619) 746-6528
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A45013
CA
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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