NPI | 1528247988 |
---|---|
Former Legal Business Name | DR DANIEL J KELLY MD SOLE MBR |
Entity Type | Organization |
Authorized Contact | DANIEL JOSEPH KELLY Owner 541-298-5144 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2007-11-01 |
Last Update Date | 2008-05-07 |