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Individual

MR. JOHN JOSEPH KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS.ED, CAS

Contact information

Practice address
4410 WHISPERING HLS, CHESTER, NY 10918-1584
(845) 478-5512
(845) 913-1995
Mailing address
4410 WHISPERING HLS, CHESTER, NY 10918-1584
(845) 478-5512
(845) 913-1995

Taxonomy

Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
785484971
NY
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
1938
AZ

Other

Enumeration date
12/26/2012
Last updated
12/27/2012
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