Michael R Kelly
NPI #1043693468 in Vernon, Connecticut
Provider Information
- NPI Number
- 1043693468
- Entity Type
- Individual
- Name
- Michael R Kelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jul 2, 2015
- Last Updated
- Jul 2, 2015
Practice Location
- Address
- 458 TALCOTTVILLE RD
- City
- Vernon
- State
- Connecticut
- ZIP Code
- 06066-4052
- Phone
- (860) 875-6156
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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