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Organization
BROOKE KELLY, DO, PC
Active
Organization
BROOKE KELLY, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE K KELLY DO (PRESIDENT)
(716) 664-7558
Entity
Organization
Contact information
Practice address
774 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2609
(716) 664-7558
(716) 664-7559
Mailing address
PO BOX 1258, JAMESTOWN, NY 14702-1258
(716) 487-1124
(716) 487-2488
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
206222
NY
Other
Enumeration date
11/30/2007
Last updated
06/13/2008
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