John D Kelley LPO, CFO

NPI 1376744912 - Orthotist - 222Z00000X

NPI Details
NPI 1376744912
Gender Male
Enumeration Date 05/30/2007
Last Updated 03/15/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1110 W SHORE DR
SUITE 400D
RICHARDSON TX, 75080-4054, US
Phone (972) 470-0300
Fax (972) 470-0301
Business Location
1110 W SHORE DR
SUITE 400D
RICHARDSON TX, 75080-4054, US
Phone (972) 470-0300
Fax (972) 470-0301
Toxanomy
Taxonomy Code 222Z00000X
License State Texas
License Number 1245
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According to our database, Mr. John D Kelley LPO, CFO NPI is 1376744912, taxonomy code is 222Z00000X and license number is 1245, license state is located at Texas. John D Kelley LPO, CFO physically located at 1110 W Shore Dr, Richardson TX, 75080-4054. NPI Number John D Kelley LPO, CFO has the Individual type.

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1376744912 NPI number is provided on an as is basis without warranty of any kind. 1376744912 is maintained by the National Plan & Provider Enumeration System. The contents of John D Kelley LPO, CFO are for informational purposes only.