Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY DEAN SKANCHY, M.D.
ActiveDR. KELLY DEAN SKANCHY, M.D. is a Sports Medicine healthcare provider located in SAN DIEGO, California. NPI 1154313971 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SAN DIEGO, CA
Registration Details
- NPI Number
- 1154313971
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (20.944805698375 yrs)
- Last Updated
- Apr 29, 2014
- Licenses
-
MD044935L (PA)GFE83510 (CA)
Practice Information
- Address
-
2450 CRAVEN ST BLDG 3300NAVAL HEALTH CLINIC NAVAL STATION SAN DIEGOSAN DIEGO, CA, 921365599Browse CA providers · Browse ZIP 92136
- Phone
- 6195565936
- Fax
- 6195569419
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DOUGLAS DEAN DENGERINK | D.O. | 1598761413 |
| CALVIN K WONG | M.D. | 1962400531 |
| DR. KENNETH S TAYLOR | M.D. | 1265458269 |
| KENNETH L. ANDERSON III | D.O. | 1437172533 |
| ROBERT ARNOLD BAKER | M.D. | 1093821639 |
| DR. STEPHEN M DAQUINO | DO | 1346351665 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.