Kelly Dewitt is a Specialist in La Mesa, California. Kelly Dewitt practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kelly Dewitt is 1184668741. The last update date is 2022-09-14.
Kelly Dewitt's current location address is 5555 Grossmont Center Dr, La Mesa, California. You can contact this provider via phone number 6196444500 and fax number 6196444547. The mailing address for Kelly Dewitt is 5555 Grossmont Center Dr, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Dewitt |
|---|---|
| Address | 5555 Grossmont Center Dr, La Mesa, California |
| Phone Number | 6196444500 |
| Fax Number | 6196444547 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184668741 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2022-09-14 |
Provider Mailing Address Detail
| Address | 5555 Grossmont Center Dr |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919423019 |
| Phone Number | 6196444500 |
| Fax Number | 6196444547 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A74873 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A748730 | CA | -- | |
| A74873 | CA | MEDICAL LICENSE |
Post Comment/ Review Below
What is the Kelly Dewitt's unique identification number?
The Kelly Dewitt has been assigned the NPI (National Provider Identifier) Number 1184668741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kelly Dewitt?
The Kelly Dewitt is situated at 5555 Grossmont Center Dr, in the city of La Mesa, state of CA, with the zip code 919423019.
What is Kelly Dewitt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Dewitt is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When did Kelly Dewitt receive its 1184668741 assignment?
The Kelly Dewitt was assigned its 1184668741 on 2006-06-15, which is the date when this unique identifier was issued to the organization.
When was the Kelly Dewitt's information last updated?
The Kelly Dewitt's information was last updated on 2022-09-14.