Individual
JY THOMAS KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-7079
Mailing address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-7079
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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