NPI Profile for JOHN J KELLEY JR in TOWSON, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ocularist |
156FX1700X | |||
Specialist/Technologist, Other |
246Z00000X |
| NPI Number | 1942374731 |
|
| Status | Active | |
| Credentials | BCO | |
| Entity | Individual | |
| Enumeration date | 11/20/2006 | |
| Last updated | 03/28/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOHN J KELLEY JR
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