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1699032060
MATTHEW WILLIAM KELLY
ROANOKE, VA
NPI
1699032060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0102203766)
Enumeration Date
2012-04-23
Last Update Date
2022-01-24
Business Address
-- MATTHEW WILLIAM KELLY D.O.
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012-2040
Phone number: 540-265-4210
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Mailing Address
-- MATTHEW WILLIAM KELLY D.O.
2000 HEALTH PARK DR FL HP2
BRENTWOOD, TN 37027-4692
Phone number: 615-373-7600
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