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DR. KELLY MARIE MC KENNA MD, PHD
NPI 1073310561
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 03, 2025
200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-6268 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2026, Mar 3, 2025 (2 updates tracked since 2025).

About Dr. Kelly Marie Mc Kenna Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY MARIE MC KENNA MD, PHD (NPI 1073310561) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1073310561
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KELLY MARIE MC KENNACredential: MD, PHD
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing Address200 W Arbor DrSan Diego, CA 92103-9000 · (619) 543-6268
Phone(619) 543-6268
Sole ProprietorNo
Enumeration DateMarch 3, 2025
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1073310561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR, San Diego, CA 92103
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189
JAMES HAMILTON JR. PA-C
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 657-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mc Kenna's NPI number?

The NPI number for Kelly Mc Kenna is 1073310561. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Kelly Mc Kenna located?

Kelly Mc Kenna practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (619) 543-6268.

What is Kelly Mc Kenna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Mc Kenna was last updated on March 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.