Individual
DR. BENSON J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 STATE ROUTE 37, AKWESASNE, NY 13655-3109
(518) 358-3141
Mailing address
412 STATE ROUTE 37, AKWESASNE, NY 13655-3109
(518) 358-3141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
167356
NY
Other
Enumeration date
03/27/2006
Last updated
02/29/2012
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