Individual
JANE BARRETT KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3030 CHILDRENS WAY, SUITE 109, SAN DIEGO, CA 92123-4232
(858) 309-7702
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G57904
CA
Other
Enumeration date
07/18/2006
Last updated
04/03/2013
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