Carder Kelly, PT Valid NPI

Individual provider · Specialist · Smithtown, NY

NPI

1497960751

Type

Individual (Type 1)

Primary specialty

Specialist

Specialty group

Other Service Providers

Taxonomy code

174400000X

License number

022575-1 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-11

Last updated

2009-07-26