JEFFREY KELLY

SCRANTON, PA
NPI1194898544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  ma052458)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
-- JEFFREY KELLY
1800 MULBERRY ST
SCRANTON, PA 18510-2369
Phone number: 570-969-8128
Mailing Address
-- JEFFREY KELLY
PO BOX 319
DUNMORE, PA 18512-0319
Phone number: 570-558-2630