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KYLE KELLY
NPI 1720581820
General Practice in San Diego, CA

Active since March 14, 2018
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6474 Get Directions Write a Review

NPPES record last updated: August 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 17, 2025, May 5, 2021, Mar 21, 2018 and 1 more (4 updates tracked since 2018).

About Kyle Kelly NPPES

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

KYLE KELLY (NPI 1720581820) is an individual general practice provider in San Diego, California, licensed in Colorado (DR.0062789) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1720581820
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKYLE KELLY
Location Address34800 BOB WILSON DRSan Diego, CA 92134-5000
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-5000
Phone(619) 532-6474
Sole ProprietorNo
Enumeration DateMarch 14, 2018
Last NPPES UpdateAugust 17, 20254 updates tracked since enumeration
NPPES CertifiedAugust 17, 2025
✔ NPI 1720581820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CO · DR.0062789
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
34800 BOB WILSON DR, San Diego, CA 92134
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Other Identifiers 1

OtherVAD0000Military

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.

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. ELAN HARDER BRESSLOUR-RASHAP MD
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Kyle Kelly's NPI number?

The NPI number for Kyle Kelly is 1720581820. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Kyle Kelly located?

Kyle Kelly practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6474.

What is Kyle Kelly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kyle Kelly was last updated on August 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.