ADRIENNE M. KELLY


Address: 4647 Zion Ave, San Diego, CA 92120-2507
Phone: 6195285000

ADRIENNE M. KELLY (NPI# 1730237710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730237710
Entity Type Individual
Full Name ADRIENNE M. KELLY
Credential MD
Practice Address 4647 Zion Ave
San Diego
CA 92120-2507
Practice Telephone 6195285000
Mailing Telephone 6195285000
Enumeration Date 2007-01-08
Last Update Date 2008-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine A69080 CA Allopathic & Osteopathic Physicians

Other Providers ADRIENNE KELLY

NPI Name Taxonomy Address Enumeration
1720634199 Adrienne Laquinn Kelly Nurse Practitioner 3281 Old Salem Rd Se, Conyers, GA 30013-2257 2019-08-12
1942244975 Adrienne J. Kelly Social Worker 629 Standish Rd, Teaneck, NJ 07666-1817 2006-06-16
1861008369 Adrienne Kelly Specialist 300 Garden City Plz, Garden City, NY 11530-3302 2020-09-20
1205189669 Adrienne Margaret Kelly Orthopaedic Surgery 2147 Professional Dr, Gaylord, MI 49735-0003 2012-10-23

Office Location

Street Address 4647 ZION AVE
City SAN DIEGO
State CA
Zip Code 92120-2507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356332373 Jon Thomas Umlauf Family Medicine 4647 Zion Ave, San Diego, CA 92120 2005-10-31
1316586076 Michael Lam Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-12-29
1093358772 Kaily Walters Dietitian, Registered 4647 Zion Ave, San Diego, CA 92120-2507 2019-10-24
1023650496 Michael Dean Perry Radiology 4647 Zion Ave, San Diego, CA 92120-2507 2019-10-17
1912558297 Vishnavi Pailla Reddy Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-09-26
1124678016 Raymond Sami Totah Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-09-12
1225699416 Thao Phuong Nguyen Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-06-27
1790340073 Edwin Uribe Contreras Student in an Organized Health Care Education/Training Program 4647 Zion Ave, San Diego, CA 92120-2507 2019-05-02
1588229835 Anthony Jacob Sutton Mells Student in an Organized Health Care Education/Training Program 4647 Zion Ave, San Diego, CA 92120-2507 2019-05-02
1295399640 Richard William Comeaux Student in an Organized Health Care Education/Training Program 4647 Zion Ave, San Diego, CA 92120-2507 2019-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1225593601 Truself Training, Inc Clinic/Center 5125 Waring Road, San Diego, CA 92120 2019-02-09
1508381799 Antin Sachs In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1588186415 Matthew B Wilbat Behavioral Analyst 6851 Alvarado Rd., #17, San Diego, CA 92120 2017-07-12
1548782923 Mori Khatibzadeh Dds Inc. Clinic/Center 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 2017-07-07
1306379359 Ken Samith Oerding Nurse Practitioner 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1396134409 Debra Michele Stern-ellis Social Worker 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 2015-01-13
1821494717 Shohreh Tourian Dentist 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1184049215 Charles Yin Counselor 6153 Fairmount Ave Suite #260, San Diego, CA 92120 2014-02-26
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275145138 Vishal Verma Md Inc Family Medicine 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128-4664 2020-08-20
1225651508 Charles N Le Medical Alliance, Professional Corp. Family Medicine 4440 Euclid Ave Ste A, San Diego, CA 92115-4522 2020-05-21
1457992927 Huong T L Nguyen Md Inc Family Medicine 4444 El Cajon Blvd Ste 6, San Diego, CA 92115-4392 2019-10-04
1265082838 Jessica Lynn Ross Family Medicine 1670 Kettner Blvd Apt 109, San Diego, CA 92101-2556 2019-09-16
1306406251 Patrick Sweet Md PC Family Medicine 4460 Teralta Pl, San Diego, CA 92103-1247 2019-06-13
1225503048 San Diego Health LLC Family Medicine 6610 Flanders Dr Ste 100, San Diego, CA 92121-3940 2018-10-08
1427553502 Behrang Dehkordi Md Inc Family Medicine 444 W C St Ste 185, San Diego, CA 92101-3597 2018-03-29
1245767037 Tam K Tran Family Medicine 7830 Clairemont Mesa Blvd Ste 100, San Diego, CA 92111-1632 2017-05-11
1912350455 Ruben G Flores Family Medicine 2470 Pine Street, San Diego, CA 92103 2016-07-20
1396124145 Chevon Alderson Family Medicine 4305 La Jolla Village Dr # 2518, San Diego, CA 92122-1270 2015-05-27
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Competitor

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City SAN DIEGO
Zip Code 92120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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