Mallory Kelly, M.D.

NPI #1174938690 in Washington, Illinois

Provider Information

NPI Number: 1174938690
Entity Type: Individual
Name: Mallory Kelly, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 23, 2014
Last Updated: Jun 23, 2014

Practice Location

Address: 1113 DIXON ST
City: Washington
State: Illinois
ZIP Code: 61571-9004
Phone: (217) 502-2672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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