Organization
KEVIN T KELLY M D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN THOMAS KELLY M.D. (CEO)
(561) 628-9969
Entity
Organization
Contact information
Practice address
1397 MEDICAL PARK BLVD, SUITE 240, WELLINGTON, FL 33414
(561) 784-3788
Mailing address
1397 MEDICAL PARK BLVD, SUITE 240, WELLINGTON, FL 33414
(561) 784-3788
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0056260
FL
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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