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1386651974
KELLY KEELTY
BUFFALO, NY
NPI
1386651974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 005676)
Enumeration Date
2006-08-03
Last Update Date
2009-09-15
Business Address
-- KELLY KEELTY PA
100 HIGH ST
BUFFALO, NY 14203-1126
Phone number: 716-859-7100
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Mailing Address
-- KELLY KEELTY PA
100 HIGH ST
BUFFALO, NY 14203-1126
Phone number: 716-859-7100
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