Individual
DR. BENJAMIN F KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10820 N TORREY PINES RD, LA JOLLA, CA 92037-1036
(858) 554-8646
(858) 554-6271
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8646
(858) 554-6271
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
107728
MN
207N00000X
Dermatology Physician
A155759
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A155759
CA
207ND0900X
Dermatopathology Physician
58373
MN
207ND0900X
Dermatopathology Physician
A155759
CA
Other
Enumeration date
12/11/2013
Last updated
12/29/2020
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