Kelly, Michael Patrick

Kelly, Michael Patrick is an individual health care provider with primary practice located at 3030 Childrens Way , San Diego CA 92123-4232. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Kelly, Michael Patrick can be contacted via phone (858) 966-6789.

Contact Information

Primary practice address
3030 Childrens Way San Diego CA 92123-4232
Phone: (858) 966-6789
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A100116 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 2010008619 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X A100116 California

Profile Details

NPI number 1508997420
LBN Legal business name Kelly, Michael Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jan 23rd, 2023 - about 2 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 1508997420 NPPES
Missouri MEDICAID 205620107

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