Individual
MR. CRAIG THOMAS KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
6 PINE DR, ELLINGTON, CT 06029-3508
(860) 550-0242
Mailing address
6 PINE DR, ELLINGTON, CT 06029-3508
(860) 550-0242
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000329
CT
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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