Matthew P. Kelly, MD
Neuromusculoskeletal Medicine & OMM in Los Angeles, CA. Individual provider (NPI-1).
NPI number1720159635
StatusActive
Last updated in NPPESNov 22, 2021
Details
- NPI
- 1720159635
- Entity type
- Individual (NPI-1)
- Name
- Matthew P. Kelly
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Nov 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204D00000X | Neuromusculoskeletal Medicine & OMM | A90569 | CA | Yes |
Practice location
4733 W Sunset BlvdLos Angeles, CA 90027-6021
Phone 323-783-4011
Mailing address
4733 W Sunset BlvdLos Angeles, CA 90027-6021
Phone 323-783-4011
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