Kae Kelly Surgical INC

NPI #1992242184 in Beckley, West Virginia

Provider Information

NPI Number: 1992242184
Entity Type: Organization
Organization Name: Kae Kelly Surgical INC
Primary Specialty: General Practice
Enumeration Date: Jan 25, 2017
Last Updated: Mar 21, 2018

Practice Location

Address: 1828 HARPER RD
City: Beckley
State: West Virginia
ZIP Code: 25801-3366
Phone: (304) 253-5690

Authorized Official

Name: SYLVANUS OYOGOA, MD
Title: OWNER
Phone: (410) 598-5707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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