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

Dr. Kelly Shannon Keefe, MD

Individual provider Anatomic Pathology Physician · NPI 1114987658

Dr. Kelly Shannon Keefe, MD is an Ophthalmology in San Diego, California. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3969 4th Ave Ste 301
San Diego, CA 92103
Phone: (619) 532-6702
Fax: (619) 532-7272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence A48069 (CA)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence A48069 (CA)

Record details

NPI number1114987658
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2006
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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