Individual
DR. LAWRENCE P KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25270 MAIN RD, CUTCHOGUE, NY 11935-1286
(631) 734-7184
(631) 734-7186
Mailing address
PO BOX 743, CUTCHOGUE, NY 11935-0743
(631) 734-7184
(631) 734-7186
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
152310
NY
Other
Enumeration date
08/08/2006
Last updated
10/30/2020
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