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Individual

ROBERT PAUL KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
175 BLUEBERRY LN, LACONIA, NH 03246-2918
(844) 570-5714
Mailing address
18 GREAT FALLS DR, CONCORD, NH 03303-1594
(603) 219-2441

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1304
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1304
N.H. DEPARTMENT OF ALLIED HEALTH PROFESSIONALS
NH
Enumeration date
09/29/2020
Last updated
09/29/2020
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