Kelley, Leon R

Kelley, Leon R is an individual health care provider with primary practice located at 292 Euclid Ave 220, San Diego CA 92114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kelley, Leon R can be contacted via phone (619) 262-8624.

Contact Information

Primary practice address
292 Euclid Ave 220 San Diego CA 92114
Phone: (619) 262-8624
Fax: (619) 262-6639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C27643 California

Profile Details

NPI number 1083685085
LBN Legal business name Kelley, Leon R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Feb 1st, 2011 - about 15 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 1083685085 NPPES
California Other C27643 MD LICENSE

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