Individual
KYLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(619) 532-6474
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-5000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DR.0062789
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD0000
MILITARY
—
Enumeration date
03/14/2018
Last updated
08/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us