ERIC SCOTT KELLY

WILMINGTON, NC
NPI1568902401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NC  12564)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-02-25
Last Update Date2022-06-08
Business Address
Mr. ERIC SCOTT KELLY
7320 MARKET ST
WILMINGTON, NC 28411-9881
Phone number: 910-386-5003
Mailing Address
Mr. ERIC SCOTT KELLY
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321