KEVIN J KELLY

FORT WAYNE, IN
NPI1982606315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IN  01032406A)
Enumeration Date2005-08-15
Last Update Date2016-11-29
Business Address
-- KEVIN J KELLY MD
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1730
Phone number: 260-266-5700
Mailing Address
-- KEVIN J KELLY MD
3926 NEW VISION DR SUITE 1
FORT WAYNE, IN 46845-1712
Phone number: 260-373-9705
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