Individual
DR. KELSEY BOURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103
(619) 543-2218
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(316) 685-9388
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A153296
CA
Other
Enumeration date
05/12/2013
Last updated
03/18/2026
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