Individual
MR. EDWARD M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11039 DUGWAY RD, FILLMORE, NY 14735-8610
(585) 567-2232
(585) 567-2239
Mailing address
3433 ROUTE 446, ELDRED, PA 16731-3109
(814) 225-4980
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004576-1
NY
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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