# KELLY J DOWNES DC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982847521
- **Authorized official:** DR. KELLY J DOWNES D C (SOLE MEMBER)
- **Authorized official phone:** (631) 725-2018

## Contact information

- **Practice address:** 1626 SAGG RD, SAG HARBOR, NY 11963-3935
- **Practice address phone:** (631) 725-2018
- **Practice address fax:** (631) 725-2018
- **Mailing address:** 1626 SAGG ROAD, PO BOX 1229, SAG HARBOR, NY 11963-0044
- **Mailing address phone:** (631) 725-2018
- **Mailing address fax:** (631) 725-2018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X0107201 | NY | Yes |

## Other

- **Enumeration date:** 04/13/2009
- **Last updated:** 04/13/2009