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Individual

BRANDON KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
37 W FREDERICK ST, MILLERSVILLE, PA 17551-1909
(717) 871-7170
Mailing address
PO BOX 1002, MILLERSVILLE, PA 17551-0302

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/08/2022
Last updated
03/08/2022
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