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1891860904
MATTHEW J KELLY
SANTA FE, NM
NPI
1891860904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 72-167)
Enumeration Date
2006-11-22
Last Update Date
2007-08-02
Business Address
Dr. MATTHEW J KELLY m.d.
1114 HICKOX ST
SANTA FE, NM 87505-1088
Phone number: 505-982-9961
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Mailing Address
Dr. MATTHEW J KELLY m.d.
1114 HICKOX ST
SANTA FE, NM 87505-1088
Phone number: 505-982-9961
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