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1295358042
ELI KELLY
DES MOINES, IA
NPI
1295358042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IA R-11842)
Enumeration Date
2020-05-27
Last Update Date
2020-05-27
Business Address
ELI KELLY DO
1415 WOODLAND AVE STE 140
DES MOINES, IA 50309-3203
Phone number: 515-241-6636
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Mailing Address
ELI KELLY DO
1415 WOODLAND AVE STE 140
DES MOINES, IA 50309-3203
Phone number: 515-241-6636
Copy
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