Organization
PATRICK M.KELLEY, M.D., PLASTIC SURGERY CENTER, P.A.
Active
Other names
Plastic Surgery Center, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MARK KELLEY M.D. (PRESIDENT)
(850) 769-8991
Entity
Organization
Contact information
Practice address
15 DOCTORS DR, PANAMA CITY, FL 32405-4520
(850) 769-8991
(850) 769-3708
Mailing address
15 DOCTORS DR, PANAMA CITY, FL 32405-4520
(850) 769-8991
(850) 769-3708
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME0032802
FL
Other
Enumeration date
09/30/2010
Last updated
07/05/2011
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