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Dr. Peter R. Kelly, MD
Specialist in Coronado, California
NPI 1265412779

Peter R. Kelly is a Specialist based in Coronado, CA. Peter R. Kelly practices in Coronado, CA and has the professional credentials of MD. The NPI Number for Peter R. Kelly is 1265412779 and holds a License No. G29430 (California).

The current practice location address for Peter R. Kelly is 1224 10Th St, Coronado, CA and can be reached out via phone at 619-435-0186 and via fax at 619-435-0594.

Location: 1224 10Th St, Coronado, CA, 92118-3420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265412779
Provider Name
Peter R. Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1224 10Th St, Coronado, CA, 92118-3420
Phone Number
619-435-0186
Fax Number
619-435-0594
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1224 10Th St
City
Coronado
State
California
Zip
92118-3416
Phone Number
619-435-0186
Fax Number
619-435-0594
person
Provider Business Mailing Address Details
Address
1224 10Th St
City
Coronado
State
California
Zip
92118-3416
Phone Number
619-435-0186
Fax Number
619-435-0594
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G29430 (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.
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