Organization
MARCHEL KELLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANN M KELLEY (FSP)
(307) 620-1821
Entity
Organization
Contact information
Practice address
5 N WYOMING AVE, BUFFALO, WY 82834-2014
(307) 620-1821
Mailing address
5 N WYOMING AVE, BUFFALO, WY 82834-2014
(307) 620-1821
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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