Individual
MR. KENNETH FARREL KELLY
Active
Individual
MR. KENNETH FARREL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00032760
WA
207P00000X
Emergency Medicine Physician
MD2010-0081
NM
207P00000X
Emergency Medicine Physician
ME142464
FL
207R00000X
Internal Medicine Physician
Primary
ME142464
FL
Other
Enumeration date
02/21/2006
Last updated
03/19/2020
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