Individual provider · Type 1 NPI

Shane Pitman Kelly, DC

Chiropractor · San Diego, CA

NPI number 1710486832 Active

Practice location

10803 Vista Sorrento Pkwy
San Diego, CA 92121-2792

Call (197) 773-0196 Map

Mailing address

10803 Vista Sorrento Pkwy Ste 100
San Diego, CA 92121-2792

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	DC34126 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1710486832

Shane Pitman Kelly, DC's National Provider Identifier is 1710486832, issued on Feb 4, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 16, 2019.