DR. KELLY DEAN SKANCHY M.D. - NPI 1154313971 - Family Medicine in San Diego, CA

Q: What is Kelly Skanchy's NPI number?

The NPI number for Kelly Skanchy is 1154313971. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Kelly Skanchy's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Skanchy was last updated on April 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Kelly Dean Skanchy M.d. NPPES

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

DR. KELLY DEAN SKANCHY M.D. (NPI 1154313971) is an individual sports medicine provider in San Diego, California, licensed in California (GFE83510) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1154313971

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. KELLY DEAN SKANCHYCredential: M.D.

Location Address2450 CRAVEN ST BLDG 3300, NAVAL HEALTH CLINIC NAVAL STATION SAN DIEGOSan Diego, CA 92136-5599

Mailing Address2450 Craven St Bldg 3300, Naval Health Clinic Naval Base San DiegoSan Diego, CA 92136-5599 · (619) 556-5936 · Fax (619) 556-9419

Phone(619) 556-5936

Fax(619) 556-9419

Sole ProprietorNo

Enumeration DateAugust 18, 2005

Last NPPES UpdateApril 29, 2014

✔ NPI 1154313971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in CA · GFE83510✔ Licensed in PA · MD044935L

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

2450 CRAVEN ST BLDG 3300, San Diego, CA 92136

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINVAD0000CA

Other Providers at the Same Location NPPES 12

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

JOSHUA BENNETT PA-C

Physician Assistant (Medical)