Kelly, Daniel F

Kelly, Daniel F is an individual health care provider with primary practice located at 1328 22Nd St 3Rd Floor, Santa Monica CA 90404-2032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kelly, Daniel F can be contacted via phone (310) 202-6204.

Contact Information

Primary practice address
1328 22Nd St 3Rd Floor Santa Monica CA 90404-2032
Phone: (310) 202-6204
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G77318 California

Profile Details

NPI number 1306857982
LBN Legal business name Kelly, Daniel F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Apr 4th, 2008 - about 16 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 1306857982 NPPES
California MEDICAID 00G773180

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