Individual
DR. JAMES THOMAS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
70 N COUNTRY RD, SUITE 105, PORT JEFFERSON, NY 11777-2161
(631) 642-0609
(631) 642-0588
Mailing address
70 N COUNTRY RD, SUITE 105, PORT JEFFERSON, NY 11777-2161
(631) 642-0609
(631) 642-0588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
173786
NY
Other
Enumeration date
11/01/2006
Last updated
11/19/2009
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