Individual
BENJAMIN MICHAEL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 MANATEE AVE W STE 202, BRADENTON, FL 34205-8624
(941) 748-2455
(941) 746-4554
Mailing address
701 MANATEE AVE W STE 202, BRADENTON, FL 34205-8624
(941) 748-2455
(941) 746-4554
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
OS15670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS15670
LICENSE
FL
Enumeration date
03/01/2014
Last updated
09/09/2024
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