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Individual

COLLEEN T KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
120 SILVER LAKE RD, MIDDLETOWN, DE 19709-1225
(302) 376-4141
Mailing address
639 YENSID DR, MIDDLETOWN, DE 19709-2601
(302) 383-9882

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3-0000251
DE

Other

Enumeration date
05/09/2006
Last updated
11/06/2014
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