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Organization

KEVIN T KELLY M D PA

Active
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Organization

KEVIN T KELLY M D PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN THOMAS KELLY M.D. (CEO)
(561) 628-9969
Entity
Organization

Contact information

Practice address
1397 MEDICAL PARK BLVD, SUITE 240, WELLINGTON, FL 33414
(561) 784-3788
Mailing address
1397 MEDICAL PARK BLVD, SUITE 240, WELLINGTON, FL 33414
(561) 784-3788

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0056260
FL

Other

Enumeration date
06/12/2007
Last updated
08/22/2020
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