Individual
DR. JAMES EDWARD BREANDAN KELLY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MSC 10-5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
Mailing address
MSC 10-5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2024-0948
NM
207RC0000X
Cardiovascular Disease Physician
Primary
MD2024-0948
NM
Other
Enumeration date
04/26/2018
Last updated
09/13/2024
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