Individual
PETER DOUGLAS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 EL CAMINO REAL FL 1, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-3264
Mailing address
1200 EL CAMINO REAL FL 1, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-3264
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A84618
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A84618
CA
2085R0204X
Vascular & Interventional Radiology Physician
MD429717
PA
Other
Enumeration date
12/29/2006
Last updated
05/08/2025
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