Individual
WALTER E. KELLEY
Active
Individual
WALTER E. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
9347417-1204
UT
207ZC0006X
Clinical Pathology Physician
DO1987
NV
Other
Enumeration date
02/17/2007
Last updated
06/04/2015
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