Peter R Kelly


Address: 1224 10th St, Suite 205, Coronado, CA 92118-3420
Phone: 6194350186

Peter R Kelly (NPI# 1265412779, PAC ID# 0143390799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1265412779
PAC ID by PECOS 0143390799
Professional Enrollment ID I20080609000384
Full Name Peter R Kelly
Address 1224 10th St
Suite 205
Coronado
CA 92118-3420
Phone Number 6194350186
Gender M
Medical School SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1970
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050234 SHARP CORONADO HOSPITAL AND HLTHCR CTR
050100 SHARP MEMORIAL HOSPITAL
050222 SHARP CHULA VISTA MEDICAL CENTER
050026 GROSSMONT HOSPITAL

Other Locations

Address Phone Organization
1224 10th St, Suite 205, Coronado, CA 92118-3420 6194350186

Organization Information

Office Location

Street Address 1224 10TH ST
SUITE 205
City CORONADO
State CA
Zip 92118-3420

Physicians in the same location

Name Specialty Organization Address
Roderick Seites Hall Psychologist, Clinical 1224 10th St, Suite 208, Coronado, CA 92118-3420
Asha V Devereaux Pulmonary Disease 1224 10th St, Suite 205, Coronado, CA 92118-3420
Grayson A Arceo Physical Therapy Results Rehabilitation Inc 1224 10th St, Suite 204, Coronado, CA 92118-3420
Blair S Arceo Physical Therapy Results Rehabilitation Inc 1224 10th St, Suite 204, Coronado, CA 92118-3420
Julia H Fitzpatrick Clinical Social Worker 1224 10th St, Suite 201, Coronado, CA 92118-3420
Michelle A Hansen Physical Therapy Results Rehabilitation Inc 1224 10th St, Suite 204, Coronado, CA 92118-3420
Laura N Petrovich Internal Medicine 1224 10th St, Suite 200, Coronado, CA 92118-3420
Walter Cohen Osteopathic Manipulative Medicine 1224 10th St, Suite 207, Coronado, CA 92118-3420
Elizabeth Megan Chamis Physical Therapy Results Rehabilitation Inc 1224 10th St, Suite 204, Coronado, CA 92118-3420

Physicians in the same zip code

Name Specialty Organization Address
Glory A Palecek Psychologist, Clinical 260 H Ave, Coronado, CA 92118-1222
Patrick R Yassini Family Medicine 131 Orange Ave, Suite 100, Coronado, CA 92118-1408
Philip Hammel Psychologist, Clinical Crownview Medical Group Inc 158 C Ave, Coronado, CA 92118-1420
Anne L Cox Psychiatry Crownview Medical Group Inc 158 C Ave, Coronado, CA 92118-1420
Arnold Block Psychologist, Clinical Crownview Medical Group Inc 158 C Ave, Coronado, CA 92118-1420
Kathryn Anderson Psychologist, Clinical Crownview Medical Group Inc 158 C Ave, Coronado, CA 92118-1420
Maha Kabban-moses Psychologist, Clinical Crownview Medical Group Inc 158 C Ave, Coronado, CA 92118-1420
Laura Hopper Psychologist, Clinical Crownview Medical Group Inc 158 C Ave, Coronado, CA 92118-1420
Mark Melden Psychiatry Crownview Medical Group Inc 158 C Ave, Coronado, CA 92118-1420
Casandra Moyer Nurse Practitioner Crownview Medical Group Inc 158 C Ave, Coronado, CA 92118-1420
Find all physicians in zip 92118

Competitor

Search similar physicians

City CORONADO
Zip Code 92118
Specialty INTERNAL MEDICINE
City + Specialty CORONADO + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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