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SHANE KELLY, D.C., LLC
NPI 1710533591
Chiropractor in San Diego, CA

Active since August 16, 2019
10803 VISTA SORRENTO PKWY STE 100, SAN DIEGO, CA 92121(619) 777-3019 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Shane Kelly, D.c., Llc NPPES

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

SHANE KELLY, D.C., LLC (NPI 1710533591) is a healthcare organization registered as a chiropractor in San Diego, California and active in the NPI registry since August 2019. The organization lists Shane P Kelly, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1710533591
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHANE KELLY, D.C., LLC
Location Address10803 VISTA SORRENTO PKWY STE 100San Diego, CA 92121-2792
Mailing Address10803 Vista Sorrento Pkwy Ste 100San Diego, CA 92121-2792 · (619) 777-3019
Phone(619) 777-3019
Organization SubpartNo
Authorized OfficialShane P KellyChiropractor · (619) 777-3019
Enumeration DateAugust 16, 2019
✔ NPI 1710533591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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 STE 100, San Diego, CA 92121
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Other Identifiers 1

OtherDC34126Chiropractic 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

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 Shane Kelly, D.C., LLC's NPI number?

The NPI number for Shane Kelly, D.C., LLC is 1710533591. It was assigned to this organization in the NPPES registry on August 16, 2019.

Where is Shane Kelly, D.C., LLC located?

Shane Kelly, D.C., LLC is located at 10803 Vista Sorrento Pkwy Ste 100, San Diego, CA 92121. The listed phone number is (619) 777-3019.

What is Shane Kelly, D.C., LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Shane Kelly, D.C., LLC 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 7 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.