KYLE BLAINE KELLY

CHICAGO, IL
NPI1720783681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  125.081707)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-31
Last Update Date2023-05-12
Business Address
Dr. KYLE BLAINE KELLY MD, PhD
820 S WOOD ST # MC675
CHICAGO, IL 60612-4325
Phone number: 312-996-2933
Mailing Address
Dr. KYLE BLAINE KELLY MD, PhD
820 S WOOD ST # MC675
CHICAGO, IL 60612-4325
Phone number: