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 only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as 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:
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Health care specialties

SpecialtyCodeLicense #State
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 Mar 19th, 2012 - about 12 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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