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Shane Kelly, D.c., Llc
Chiropractor in San Diego, California
NPI 1710533591

Shane Kelly, D.c., Llc is a Chiropractor based in San Diego, CA. Shane Kelly, D.c., Llc practices in San Diego, CA. The NPI Number for Shane Kelly, D.c., Llc is 1710533591 and holds a License No. (California).

The current practice location address for Shane Kelly, D.c., Llc is 10803 Vista Sorrento Pkwy Ste 100, San Diego, CA and can be reached out via phone at 619-777-3019.

Location: 10803 Vista Sorrento Pkwy Ste 100, San Diego, CA, 92121-2792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710533591
Provider Name
Shane Kelly, D.c., Llc
Credential
Provider Entity Type
Organization
Address
10803 Vista Sorrento Pkwy Ste 100, San Diego, CA, 92121-2792
Phone Number
619-777-3019
Fax Number
Provider Enumeration Date
08/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC34126 01 CHIROPRACTIC LICENSE
institution
Provider Business Practice Location Address Details
Address
10803 Vista Sorrento Pkwy Ste 100
City
San Diego
State
California
Zip
92121-2792
Phone Number
619-777-3019
Fax Number
person
Provider Business Mailing Address Details
Address
10803 Vista Sorrento Pkwy Ste 100
City
San Diego
State
California
Zip
92121-2792
Phone Number
619-777-3019
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
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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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