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1972953339
COLIN KENNETH KELLY
JACKSONVILLE, FL
NPI
1972953339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: VA 0101264704)
Enumeration Date
2016-06-16
Last Update Date
2024-07-10
Business Address
COLIN KENNETH KELLY MD
BUREAU OF MEDICINE & SURGERY DETACHMENT NAS JACKSONVILLE, BUILDING 554
JACKSONVILLE, FL 32212
Phone number: 843-794-6994
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Mailing Address
COLIN KENNETH KELLY MD
BUREAU OF MEDICINE & SURGERY DETACHMENT NAS JACKSONVILLE, BUILDING 554
JACKSONVILLE, FL 32212
Phone number:
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