Kelly, Peter R.

Kelly, Peter R. is an individual health care provider with primary practice located at 1224 10Th St Suite 205, Coronado CA 92118-3416. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kelly, Peter R. can be contacted via phone (619) 435-0186.

Contact Information

Primary practice address
1224 10Th St Suite 205 Coronado CA 92118-3416
Phone: (619) 435-0186
Fax: (619) 435-0594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G29430 California

Profile Details

NPI number 1265412779
LBN Legal business name Kelly, Peter R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 19 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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