Ted Martin Kelly MD

NPI 1902901952 - Internal Medicine - 207R00000X

NPI Details
NPI 1902901952
Gender Male
Enumeration Date 09/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
100 15TH ST NW
NORTON VA, 24273-1616, US
Phone (276) 679-9645
Fax (276) 679-9762
Business Location
96 15TH ST NW
104
NORTON VA, 24273-1620, US
Phone (276) 679-8890
Fax (276) 679-9740
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G67501
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According to our database, Ted Martin Kelly MD NPI is 1902901952, taxonomy code is 207R00000X and license number is G67501, license state is located at California. Ted Martin Kelly MD physically located at 100 15th St Nw, Norton VA, 24273-1616. NPI Number Ted Martin Kelly MD has the Individual type.

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1902901952 NPI number is provided on an as is basis without warranty of any kind. 1902901952 is maintained by the National Plan & Provider Enumeration System. The contents of Ted Martin Kelly MD are for informational purposes only.