MARTIN J. KELLY

FARMINGTON, CT
NPI1447300702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  000979)
Enumeration Date2007-01-11
Last Update Date2023-03-07
Business Address
-- MARTIN J. KELLY PA
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
Mailing Address
-- MARTIN J. KELLY PA
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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