MARK KIM KELLY

FORT WAYNE, IN
NPI1639300932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: MI  4301095025)
Enumeration Date2009-08-04
Last Update Date2016-01-27
Business Address
DR. MARK KIM KELLY M.D
3707 NEW VISION DR
FORT WAYNE, IN 46845-1702
Phone number: 248-787-4905
Mailing Address
DR. MARK KIM KELLY M.D
3707 NEW VISION DR
FORT WAYNE, IN 46845-1702
Phone number: 248-787-4905
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