DR. PATRICK MICHAEL KELLY MD NPI 1235275512

NPI Information

NPI: 1235275512
Provider Name: DR. PATRICK MICHAEL KELLY, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA
ZIP 90266
Phone: (424) 269-0086
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DR. Patrick Michael Kelly, MD is a child and adolescent psychiatry psychiatry neurology in Manhattan Beach, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Patrick Michael Kelly, MD NPI is 1235275512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA
ZIP 90266-494
Phone: (424) 269-0086
Fax: (844) 868-3841

The enumeration date for this NPI number is 1/30/2007 and was last updated on 1/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	125168	CALIFORNIA	Yes
2	2084P0800X	Psychiatry & Neurology	Psychiatry	D66989	MARYLAND	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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