Individual
DR. THOMAS HOWE KELLY
Active
Individual
DR. THOMAS HOWE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12129
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
618308
—
AZ
05
—
89122534
—
CO
05
—
G8189
—
NM
Enumeration date
10/17/2005
Last updated
09/03/2013
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