Scott Andrew Kelly, SOIDC
Scott Andrew Kelly, SOIDC is an Independent Duty Corpsman in San Clemente, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
242 Avenida Pelayo Unit ASan Clemente, CA 92672-5033
Phone: (773) 491-2746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1548891526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SOIDC |
| Sole proprietor | No |
| NPI enumerated | January 29, 2020 |
| Last updated in NPPES | January 29, 2020 |
| Certification date | January 29, 2020 |
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