Kelly, Thomas Gerald

Kelly, Thomas Gerald is an individual health care provider with primary practice located at 550 Washington St Ste #300, San Diego CA 92103-2213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Kelly, Thomas Gerald can be contacted via phone (619) 297-5437.

Contact Information

Primary practice address
550 Washington St Ste #300 San Diego CA 92103-2213
Phone: (619) 297-5437
Fax: (619) 297-4567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X A88790 California

Profile Details

NPI number 1134236623
LBN Legal business name Kelly, Thomas Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Dec 2nd, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134236623 NPPES
California MEDICAID 00A887900

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