Kelly, Kevin M.

Kelly, Kevin M. is an individual health care provider with primary practice located at 50 Alessandro Pl Suite A30 & A40, Pasadena CA 91105-3149. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Kelly, Kevin M. can be contacted via phone (626) 793-6141.

Contact Information

Primary practice address
50 Alessandro Pl Suite A30 & A40 Pasadena CA 91105-3149
Fax: (626) 796-0172
Website:

Health care specialties

Profile Details

NPI number 1942299912
LBN Legal business name Kelly, Kevin M.
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1942299912 NPPES
California MEDICAID 00G243300

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