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Individual

DR. LISA ANN KELTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
H100 SANTA MARGERITA RD, NAVAL HOSPITAL CAMP PENDLETON, CAMP PENDLETON, CA 92055
(904) 343-4656
Mailing address
PO BOX 1203, CARLSBAD, CA 92018-1203
(904) 343-4656

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-07-1005-K
OH
207P00000X
Emergency Medicine Physician
C143642
CA

Other

Enumeration date
06/07/2006
Last updated
01/12/2017
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