KATHERINE A. KELLY MD – NPI #1578252045
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

KATHERINE KELLY is a physician located in SAN DIEGO, CA. NPPES has assigned the NPI number 1578252045 to KATHERINE KELLY on May 02, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jun 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATHERINE KELLY below.

NPI Profile for
KATHERINE A. KELLY

NPI Number
1578252045
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATHERINE A. KELLY
Credentials
MD
Primary location
2496 BAUER RD
SAN DIEGO, CA 92126
Phone: (619) 881-9011 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0101283818
171000000X
- Military Health Care Provider

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.