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1972952125
JOHN KELLY
FOREST, VA
NPI
1972952125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101266447)
Enumeration Date
2016-06-08
Last Update Date
2019-07-18
Business Address
JOHN KELLY M.D.
1088 LONDON LINKS DR
FOREST, VA 24551-4662
Phone number: 574-647-7477
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Mailing Address
JOHN KELLY M.D.
1088 LONDON LINKS DR
FOREST, VA 24551-4662
Phone number: 434-534-6868
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