Individual provider · Type 1 NPI
Matthew Thomas Kelly
Emergency Registered Nurse · Oceanside, CA
NPI number
1093635211
Active
Practice location
2205 Vista Way
Oceanside, CA 92054-5661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 760575 (CA) |
Emergency Registered Nurse: Definition to come...
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About NPI 1093635211
Matthew Thomas Kelly's National Provider Identifier is 1093635211, issued on Jul 17, 2026. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Oceanside, CA. The record was last updated on Jul 17, 2026.