MICHAEL J KELLY

DAVENPORT, IA
NPI1396766937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  24314)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  036-079295)
Enumeration Date2006-07-21
Last Update Date2013-02-15
Business Address
MICHAEL J KELLY MD
1820 W 3RD ST GENESIS HEALTH GROUP
DAVENPORT, IA 52802-1812
Phone number: 563-421-0500
Mailing Address
MICHAEL J KELLY MD
1820 WEST THIRD STREET GENESIS HEALTH GROUP
DAVENPORT, IA 52802-0000
Phone number: 563-421-0500