Individual
DR. JOHN PATRICK KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 MALCOLM AVE, LOS ANGELES, CA 90025-4045
(714) 369-9426
Mailing address
2121 MALCOLM AVE, LOS ANGELES, CA 90025
(714) 369-9426
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A68410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A684100
—
CA
Enumeration date
06/28/2006
Last updated
01/31/2021
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