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Individual

DR. BRIAN JAMES KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0404
Mailing address
7912 SW 85TH TER, GAINESVILLE, FL 32608-5792
(352) 265-0404

Taxonomy

Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
PS36692
FL

Other

Enumeration date
10/11/2019
Last updated
10/11/2019
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