Individual
DR. CAROL B. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
668 ALLERTON AVE, BRONX, NY 10467-7406
(718) 652-1151
(718) 652-5799
Mailing address
668 ALLERTON AVE, BRONX, NY 10467-7406
(718) 652-1151
(718) 652-5799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
149181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00705986
—
NY
Enumeration date
04/03/2006
Last updated
07/08/2007
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