Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark J Kelly MD, Inc

Organization Urology Physician · NPI 1598827826

Mark J Kelly MD, Inc is an Urology Physician in Santa Monica, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2001 Santa Monica Blvd Ste 590W
Santa Monica, CA 90404-2102
Phone: (310) 829-0039
Fax: (310) 828-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence G55252 (CA)

Record details

NPI number1598827826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kelly — Physician · (310) 829-0039
NPI enumeratedDecember 14, 2006
Last updated in NPPESSeptember 26, 2008
Mailing address2001 Santa Monica Blvd, Suite 590w, Santa Monica, CA 90404-2102

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