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1306582317
DAVID KELLY
FORT CAMPBELL, KY
NPI
1306582317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-05-11
Last Update Date
2023-10-24
Business Address
MR. DAVID KELLY PA-C, MPAS
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-1411
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Mailing Address
MR. DAVID KELLY PA-C, MPAS
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number:
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