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PETER R. KELLY M.D. INC NPI 1699278267


NPI Information

NPI: 1699278267
Provider Name: PETER R. KELLY M.D. INC

Doing Business As: PETER R. KELLY M.D.

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1224 10TH ST STE 205
CORONADO, CA
ZIP 92118
Phone: (619) 435-0186
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PETER R. KELLY M.D. INC is an internal medicine in Coronado, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PETER R. KELLY M.D. INC NPI is 1699278267. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peter R. Kelly M.d..

The provider's business location address is:

1224 10TH ST STE 205
CORONADO, CA
ZIP 92118-420
Phone: (619) 435-0186
Fax: (619) 435-0594

The provider's authorized official is Karin Loni Spence .
The authorized official title is Office Manager and has the following contact phone number (619) 435-0186.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 6/16/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineG29430CALIFORNIAYes

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: 11/14/2023

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