KEVIN J KELLY

SPRINGFIELD, MO
NPI1851502942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2007009235)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
-- KEVIN J KELLY PA-C
4049 S CAMPBELL AVE
SPRINGFIELD, MO 65807-5303
Phone number: 417-890-5550
Mailing Address
-- KEVIN J KELLY PA-C
1643 MEADOW VIEW RD
OZARK, MO 65721-7913
Phone number: 417-725-2135
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