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Individual

DR. ALBERT M KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 837-8876
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 837-8876

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A8453
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX84530
CA
Enumeration date
08/03/2006
Last updated
05/13/2022
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