Individual
KELLY JEANNE LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4077 5TH AVE, SAN DIEGO, CA 92103-2105
(858) 832-2478
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-8080
(202) 877-7633
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A193012
CA
Other
Enumeration date
03/27/2021
Last updated
05/15/2024
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