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Dan Kelly
NPI 1285952101 · on the registry since 2010 · sole proprietor
Practice
- Address
- 120 Birch St
Shady Cove, OR 97539 - Phone
- (541) 878-2429
Registry record
- Primary taxonomy
- 372600000X
372600000X
- Also registered as
- 172A00000X
372500000X - Sex
- Male
- Record last updated
- 2010-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon