NPI 1013455542
Thomas B Kelly
Practice location
- Address
- 5905 Severin Dr, La Mesa, CA 91942-3806
- Phone
- (619) 589-2606
- Fax
- (619) 464-0900
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1013455542
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Feb 2017
- Record last updated
- 3 Feb 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.