SHANE PITMAN KELLY DC
NPI 1710486832
Chiropractor in San Diego, CA

Q: What is Shane Kelly's NPI number?

The NPI number for Shane Kelly is 1710486832. It was assigned to this individual provider in the NPPES registry on February 4, 2018.

Q: What is Shane Kelly's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Kelly was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2018

10803 VISTA SORRENTO PKWY, SAN DIEGO, CA 92121(197) 773-0196 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shane Pitman Kelly Dc NPPES

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

SHANE PITMAN KELLY DC (NPI 1710486832) is an individual chiropractor in San Diego, California, licensed in California (DC34126) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1710486832

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameSHANE PITMAN KELLYCredential: DC

Location Address10803 VISTA SORRENTO PKWYSan Diego, CA 92121-2792

Mailing Address10803 Vista Sorrento Pkwy Ste 100San Diego, CA 92121-2792 · (619) 777-3019

Phone(197) 773-0196

Sole ProprietorYes

Enumeration DateFebruary 4, 2018

Last NPPES UpdateAugust 16, 2019

✔ NPI 1710486832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC34126

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

10803 VISTA SORRENTO PKWY, San Diego, CA 92121

Open in Google Maps ↗

Other Identifiers 1

OtherDC34126CA · Chiropractic License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. DEBBIE KAY BRIGHT D.C.

Chiropractor