Individual
BROOKE K KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 664-7558
(716) 664-7559
Mailing address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 664-7558
(716) 664-7559
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
206222
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01933522
—
NY
Enumeration date
05/16/2006
Last updated
02/10/2023
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