Individual
DR. BRIAN THOMAS KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8807 165TH AVE, HOWARD BEACH, NY 11414-3639
(347) 670-7429
Mailing address
8807 165TH AVE, HOWARD BEACH, NY 11414-3639
(347) 670-7429
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X013305
NY
Other
Enumeration date
05/19/2021
Last updated
08/17/2022
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