| NPI | 1407158850 |
|---|---|
| Other Name | JOHN EDWARD KELLY MD PA |
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD KELLY President 301-212-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0006349) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-12-15 |