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Individual

DR. ELIZABETH ANNE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
60 WESTWOOD AVE, SUITE 100, WATERBURY, CT 06708-2460
(203) 573-1425
(203) 573-8236
Mailing address
60 WESTWOOD AVE, SUITE 100, WATERBURY, CT 06708-2460
(203) 573-1425
(203) 573-8236

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101249724
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
050869
CT

Other

Enumeration date
05/12/2008
Last updated
01/28/2013
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