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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SCOTT ANDREW KELLY, SOIDC

Active

SCOTT ANDREW KELLY, SOIDC is a Independent Duty Corpsman healthcare provider located in SAN CLEMENTE, California. NPI 1548891526 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · SAN CLEMENTE, CA

Registration Details

NPI Number
1548891526
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2020 (6.5073389443543 yrs)
Last Updated
Jan 29, 2020

Practice Information

Address
242 AVENIDA PELAYO UNIT A
SAN CLEMENTE, CA, 926725033
Browse CA providers · Browse ZIP 92672
Phone
7734912746
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in SAN CLEMENTE, CA

Name Credential NPI
MR. GILBERT RUIZ BARRERA JR. IDC 1316904097
MR. PATRICK BRIAN QUILL SOIDC 1346538691
RAY ALLEN BANDA 1720349871
SALVADOR CERVANTES SOIDC 1386265924
SIMON PEDRO TRUJILLO IDC 1639793607
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.