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DR. KENNETH J KELLY M.D. NPI 1730224908


NPI Information

NPI: 1730224908
Provider Name: DR. KENNETH J KELLY, M.D.
Classification: Emergency Medicine - 207PE0005X
Entity Type: Individual

Specialization: Undersea and Hyperbaric Medicine

PECOS Registration: Yes

Address:
2000 TRIDENT WAY
SAN DIEGO, CA
ZIP 92155
Phone: (808) 474-9333
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DR. Kenneth J Kelly, M.D. is an undersea and hyperbaric medicine emergency medicine in San Diego, CA with 35 years of experience. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. DR. Kenneth J Kelly, M.D. NPI is 1730224908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1989

The provider's business location address is:

2000 TRIDENT WAY
SAN DIEGO, CA
ZIP 92155-599
Phone: (808) 474-9333
Fax: (619) 437-3197

The NPI 1730224908 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/8/2007.


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
1207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineMD7948HAWAIIYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.