Scott A. Kelly M.D.

NPI 1003803404 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1003803404
Gender Male
Enumeration Date 09/30/2005
Last Updated 03/28/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
6635 LAKE DR
MORROW GA, 30260-2354, US
Phone (770) 968-1323
Fax (770) 968-4556
Business Location
6635 LAKE DR
MORROW GA, 30260-2354, US
Phone (770) 968-1323
Fax (770) 968-4556
Toxanomy
Taxonomy Code 208100000X
License State Georgia
License Number 044256
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According to our database, Dr. Scott A. Kelly M.D. NPI is 1003803404, taxonomy code is 208100000X and license number is 044256, license state is located at Georgia. Scott A. Kelly M.D. physically located at 6635 Lake Dr, Morrow GA, 30260-2354. NPI Number Scott A. Kelly M.D. has the Individual type.

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1003803404 NPI number is provided on an as is basis without warranty of any kind. 1003803404 is maintained by the National Plan & Provider Enumeration System. The contents of Scott A. Kelly M.D. are for informational purposes only.