JACOB PATRICK KELLY

ANCHORAGE, AK
NPI1851551949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology
(Licence: AK  119045)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TX  N5767)
207R00000X Internal Medicine
(Licence: NC  2012-01069)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: AK  119045)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC  2012-01069)
Enumeration Date2008-06-11
Last Update Date2019-02-12
Business Address
JACOB PATRICK KELLY MD
3841 PIPER ST STE T100
ANCHORAGE, AK 99508-4674
Phone number: 907-561-3211
Mailing Address
JACOB PATRICK KELLY MD
3841 PIPER ST SUITE T100
ANCHORAGE, AK 99508
Phone number: 907-561-3211