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Shane Pitman Kelly, DC
Chiropractor in San Diego, California
NPI 1710486832

Shane Pitman Kelly is a Chiropractor based in San Diego, CA. Shane Pitman Kelly practices in San Diego, CA and has the professional credentials of DC. The NPI Number for Shane Pitman Kelly is 1710486832 and holds a License No. DC34126 (California).

The current practice location address for Shane Pitman Kelly is 10803 Vista Sorrento Pkwy, San Diego, CA and can be reached out via phone at 197-773-0196.

Location: 10803 Vista Sorrento Pkwy, San Diego, CA, 92121-2792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710486832
Provider Name
Shane Pitman Kelly
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
10803 Vista Sorrento Pkwy, San Diego, CA, 92121-2792
Phone Number
197-773-0196
Fax Number
Provider Enumeration Date
02/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC34126 01 CA CHIROPRACTIC LICENSE
institution
Provider Business Practice Location Address Details
Address
10803 Vista Sorrento Pkwy
City
San Diego
State
California
Zip
92121-2792
Phone Number
197-773-0196
Fax Number
person
Provider Business Mailing Address Details
Address
10803 Vista Sorrento Pkwy
City
San Diego
State
California
Zip
92121-2792
Phone Number
197-773-0196
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC34126 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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