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Kelly Dewitt, MD
Radiation Oncology Physician in La Mesa, California
NPI 1184668741

Kelly Dewitt is a Radiation Oncology Physician based in San Diego, CA and is specialized in Radiation Oncology. Kelly Dewitt practices in La Mesa, CA and has the professional credentials of MD. The NPI Number for Kelly Dewitt is 1184668741 and holds a License No. A74873 (California).

The current practice location address for Kelly Dewitt is 5555 Grossmont Center Dr, La Mesa, CA and can be reached out via phone at 619-644-4500 and via fax at 619-644-4547.

Location: 5555 Grossmont Center Dr, La Mesa, CA, 92150-9015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184668741
Provider Name
Kelly Dewitt
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5555 Grossmont Center Dr, La Mesa, CA, 92150-9015
Phone Number
619-644-4500
Fax Number
619-644-4547
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A748730 05 CA
A74873 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
5555 Grossmont Center Dr
City
La Mesa
State
California
Zip
91942-3019
Phone Number
619-644-4500
Fax Number
619-644-4547
person
Provider Business Mailing Address Details
Address
5555 Grossmont Center Dr
City
La Mesa
State
California
Zip
91942-3019
Phone Number
619-644-4500
Fax Number
619-644-4547
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A74873 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
A74873 (California)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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