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Individual

DR. KELLY ANDRE JARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
455 SUTTER AVE, BROOKLYN, NY 11212-8111
(718) 765-6550
(347) 620-9739
Mailing address
PO BOX 746087, ATLANTA, GA 30374-6087
(312) 733-9730

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
281898
NY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
281898
NY
208M00000X
Hospitalist Physician
281898
NY

Other

Enumeration date
06/25/2010
Last updated
12/12/2024
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