Jack Kelly

NPI #1407562507 in Montrose, Colorado

Provider Information

NPI Number
1407562507
Entity Type
Individual
Name
Jack Kelly
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor - Home Modifications
Enumeration Date
Jan 23, 2023
Last Updated
Jan 23, 2023

Practice Location

Address
68084 LASALLE RD
ZIP Code
81401-7502
Phone
(720) 648-6040

Specialties & Taxonomy Codes

Specialty
Contractor - Home ModificationsHome Modifications

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