Individual
DR. DAVID KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 E AUDUBON DR, FRESNO, CA 93720-1542
(314) 749-1487
Mailing address
120 MEADOW RIDGE TOWNHOMES, MORGANTOWN, WV 26505-3075
(314) 749-1487
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036153561
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/02/2014
Last updated
08/19/2025
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