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Individual

DR. BRIAN KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
180 JFK DR STE 320, ATLANTIS, FL 33462-6641
(561) 548-4900
(561) 434-5165
Mailing address
180 JFK DR STE 320, ATLANTIS, FL 33462-6641
(561) 548-4900
(561) 434-5165

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME148365
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109734600
FL
Enumeration date
07/20/2011
Last updated
02/10/2022
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