Individual
MICHAEL R KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 E CHESTNUT ST, SUITE 104, ROME, NY 13440-2834
(315) 337-7952
(315) 337-0991
Mailing address
808 N GEORGE ST, APT 3, ROME, NY 13440-3410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002358-1
NY
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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