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Individual
DR. MICHAEL THOMAS KELLY
Active
Individual
DR. MICHAEL THOMAS KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2011-01909
NC
2081P0004X
Spinal Cord Injury Medicine Physician
2011-01909
NC
Other
Enumeration date
06/26/2006
Last updated
06/03/2019
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