Marchel Kelley

NPI #1134660038 in Buffalo, Wyoming

Provider Information

NPI Number
1134660038
Entity Type
Organization
Organization Name
Marchel Kelley
Primary Specialty
Preferred Provider Organization
Enumeration Date
Mar 13, 2017
Last Updated
Mar 13, 2017

Practice Location

Address
5 N WYOMING AVE
State
Wyoming
ZIP Code
82834-2014
Phone
(307) 620-1821

Authorized Official

Name
MISS ANN M KELLEY
Title
FSP
Phone
(307) 620-1821

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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