IndividualActive
Kenneth Kelly, M.D.
NPI 1730224908 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · San Diego, CA
Provider details
- NPI number
- 1730224908
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD7948 (HI)
Practice location
2000 Trident Way
San Diego, CA 92155-5599
Phone: (808) 474-9333
Fax: (619) 437-3197
Mailing address
2000 Trident Way
San Diego, CA 92155-5599
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.