Individual
KEVIN VINCENT KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 E 73RD ST STE 1A, NEW YORK, NY 10021-4320
(212) 348-9661
Mailing address
230 E 73RD ST STE 1A, NEW YORK, NY 10021-4320
(212) 348-9661
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
146613
NY
Other
Enumeration date
11/24/2006
Last updated
06/10/2024
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