NPI | 1699278267 |
---|---|
Doing Business As | PETER R. KELLY M.D. |
Entity Type | Organization |
Authorized Contact | KARIN LONI SPENCE Office Manager 619-435-0186 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G29430) |
Enumeration Date | 2018-03-09 |
Last Update Date | 2018-06-16 |