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1902956550
LARRY KELLY
RALEIGH, NC
NPI
1902956550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- LARRY KELLY PA
2101 GARNER RD SUITE 113
RALEIGH, NC 27610-4687
Phone number: 919-832-7351
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Mailing Address
-- LARRY KELLY PA
3125 POPLARWOOD CT SUITE 203
RALEIGH, NC 27604-1084
Phone number: 919-832-7351
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