Martin Frederick Kelly

NPI #1801008156 in Greenville, New York

Provider Information

NPI Number: 1801008156
Entity Type: Individual
Name: Martin Frederick Kelly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 19 COUNTY ROUTE 401
City: Greenville
State: New York
ZIP Code: 12083-2100
Phone: (518) 966-5624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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