Individual provider · Type 1 NPI
Peter R. Kelly, MD
Specialist · Coronado, CA
NPI number
1265412779
Active
Practice location
1224 10th St, Suite 205
Coronado, CA 92118-3416
Fax (619) 435-0594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G29430 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1265412779
Peter R. Kelly, MD's National Provider Identifier is 1265412779, issued on Jan 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coronado, CA. The record was last updated on Jul 13, 2026.