Kelly, Kenneth J
Kelly, Kenneth J is an sole proprietor health care provider with primary practice located at 2000 Trident Way , San Diego CA 92155-5599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Kelly, Kenneth J can be contacted via phone (808) 474-9333.Contact Information
Primary practice address
2000 Trident Way
San Diego CA 92155-5599
Phone: (808) 474-9333
Fax: (619) 437-3197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | MD7948 | Hawaii |
Profile Details
| NPI number | 1730224908 |
|---|---|
| LBN Legal business name | Kelly, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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