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Individual

DR. KENNETH J KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 TRIDENT WAY, SAN DIEGO, CA 92155-5599
(808) 474-9333
(619) 437-3197
Mailing address
2000 TRIDENT WAY, SAN DIEGO, CA 92155-5599
(808) 474-9333
(619) 437-3197

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
MD7948
HI

Other

Enumeration date
02/21/2007
Last updated
07/08/2007
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