Individual
JEREMIAH F KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SENIOR HEALTH CLINIC UNM, 1101 MEDICAL ARTS AVE NE, ALBUQUERQUE, NM 87131-0001
(505) 272-6082
(505) 272-7782
Mailing address
SENIOR HEALTH CLINIC UNM, 1101 MEDICAL ARTS AVE NE, ALBUQUERQUE, NM 87131-0001
(505) 272-6082
(505) 272-7782
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2011-0248
NM
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD2011-0248
NM
Other
Enumeration date
03/02/2007
Last updated
06/10/2011
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