Individual
KELLY R DOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A148018
CA
208M00000X
Hospitalist Physician
Primary
A148018
CA
Other
Enumeration date
06/27/2012
Last updated
07/08/2019
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