EDWARD ROBERT KELLY

ITHACA, NY
NPI1891344024
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  000039)
Enumeration Date2019-09-10
Last Update Date2019-09-10
Business Address
EDWARD ROBERT KELLY
512 N CAMPUS
ITHACA, NY 14853-6007
Phone number: 607-255-4237
Mailing Address
EDWARD ROBERT KELLY
214 E UPLAND RD
ITHACA, NY 14850-2255
Phone number: 607-255-4237
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