Individual
JILLIAN EGAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 HACKETT BLVD, ALBANY, NY 12208-3436
(518) 262-4784
Mailing address
23 HACKETT BLVD, ALBANY, NY 12208-3436
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
291187
MA
Other
Enumeration date
04/04/2017
Last updated
08/19/2024
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