Dr. Kelly Dean Skanchy
Family Doctor - Sports Medicine
2450 Craven St Bldg 3300 Naval Health Clinic Naval Station San Diego
San Diego
, California 92136-5599
Dr. Kelly Dean Skanchy
Family Doctor - Sports Medicine
2450 Craven St Bldg 3300 Naval Health Clinic Naval Station San Diego
San Diego
, California 92136-5599
(619) 556-9419
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Kelly Dean Skanchy
- 2450 Craven St Bldg 3300 Naval Health Clinic Naval Base San Diego
- San Diego, CA
- Zip : 92136-5599
- Fax : (619) 556-9419
- Phone : (619) 556-5936
Second Address
- Dr. Kelly Dean Skanchy
- 2450 Craven St Bldg 3300 Naval Health Clinic Naval Station San Diego
- San Diego, CA
- Zip : 92136-5599
- Fax : (619) 556-9419
- Phone : (619) 556-5936
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | GFE83510 | CA |
| N | 207QS0010X | Family Doctor - Sports Medicine | MD044935L | PA |
National Provider Identifier
| NPI | 1154313971 |
|---|---|
| Provider Name | Dr. Kelly Dean Skanchy |
| First Address | San Diego, CA 92136-5599 |
| Second Address | San Diego, CA 92136-5599 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 29/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| VAD0000 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.