Healthcare Provider Details

I. General information

NPI: 1831021419
Provider Name (Legal Business Name): KELLEY BRENNAN KEATLY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1748 MORGANS AVE
SAN MARCOS CA
92078-1045
US

IV. Provider business mailing address

1748 MORGANS AVE
SAN MARCOS CA
92078-1045
US

V. Phone/Fax

Practice location:
  • Phone: 760-815-0300
  • Fax:
Mailing address:
  • Phone: 760-815-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20549
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: