KEVIN MICHAEL KELLY

ATHENS, GA
NPI1912300435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT005995)
Enumeration Date2014-09-29
Last Update Date2014-09-29
Business Address
-- KEVIN MICHAEL KELLY
1287 CEDAR SHOALS DR APT 718
ATHENS, GA 30605-3596
Phone number: 302-753-5608
Mailing Address
-- KEVIN MICHAEL KELLY
1287 CEDAR SHOALS DR
ATHENS, GA 30605-3552
Phone number: 302-753-5608