Isaac Laurence Kelly M.D.

NPI 1083057525 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1083057525
Gender Male
Enumeration Date 04/15/2013
Last Updated 04/15/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
11234 ANDERSON ST
LOMA LINDA CA, 92354-2804, US
Phone (909) 558-4196
Fax
Business Location
11234 ANDERSON ST
GME OFFICE WESTERLY SUITE C
LOMA LINDA CA, 92354-2804, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Isaac Laurence Kelly M.D. NPI is 1083057525, taxonomy code is 390200000X Isaac Laurence Kelly M.D. physically located at 11234 Anderson St, Loma Linda CA, 92354-2804. NPI Number Isaac Laurence Kelly M.D. has the Individual type.

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1083057525 NPI number is provided on an as is basis without warranty of any kind. 1083057525 is maintained by the National Plan & Provider Enumeration System. The contents of Isaac Laurence Kelly M.D. are for informational purposes only.