Denise Dolores Kelly

NPI #1013397579 in Central Islip, New York

Provider Information

NPI Number: 1013397579
Entity Type: Individual
Name: Denise Dolores Kelly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: May 31, 2015
Last Updated: May 31, 2015

Practice Location

Address: 40 FELLER DR
City: Central Islip
State: New York
ZIP Code: 11722-1210
Phone: (631) 234-5695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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