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1730224908
KENNETH J KELLY
SAN DIEGO, CA
NPI
1730224908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine
(Licence: HI MD7948)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Dr. KENNETH J KELLY M.D.
2000 TRIDENT WAY
SAN DIEGO, CA 92155-5599
Phone number: 808-474-9333
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Mailing Address
Dr. KENNETH J KELLY M.D.
2000 TRIDENT WAY
SAN DIEGO, CA 92155-5599
Phone number: 808-474-9333
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