Individual
MATTHEW KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 MEDICAL VILLAGE DR, NEWPORT, VT 05855-9835
(802) 334-3500
Mailing address
10807 FALLS RD UNIT 87, BROOKLANDVILLE, MD 21022-7504
(410) 261-8085
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D87596
MD
Other
Enumeration date
04/07/2014
Last updated
07/07/2021
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