Organization
JOHN J KELLEY ASSOCIATES OF MARYLAND LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J KELLEY BCO (PRESIDENT)
(410) 828-5628
Entity
Organization
Contact information
Practice address
1107 KENILWORTH DR, SUITE 310, TOWSON, MD 21204-2140
(410) 828-5628
(410) 828-5629
Mailing address
1107 KENILWORTH DR, SUITE 310, TOWSON, MD 21204-2140
(410) 828-5628
(410) 828-5629
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761988000
—
MD
Enumeration date
04/08/2008
Last updated
05/05/2008
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