Individual
DR. KELLI KAZLAUSKAS SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10670 WEXFORD ST, SAN DIEGO, CA 92131-3940
(858) 499-2702
Mailing address
5651 COPLEY DR, SAN DIEGO, CA 92111-7903
(858) 262-6344
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A125621
CA
Other
Enumeration date
01/08/2007
Last updated
02/10/2019
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