Keefe, Kelly Shannon
Keefe, Kelly Shannon is an sole proprietor health care provider with primary practice located at 3969 4Th Ave Suite 301, San Diego CA 92103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Keefe, Kelly Shannon can be contacted via phone (619) 532-6702.Contact Information
Primary practice address
3969 4Th Ave Suite 301
San Diego CA 92103
Phone: (619) 532-6702
Fax: (619) 532-7272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | A48069 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A48069 | California |
Profile Details
| NPI number | 1114987658 |
|---|---|
| LBN Legal business name | Keefe, Kelly Shannon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Nov 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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