Dr. Thomas J Kelly, DO
Emergency Medicine in Fort Walton Beach, FL. Individual provider (NPI-1).
NPI number1629026596
StatusActive
Last updated in NPPESMar 20, 2009
Details
- NPI
- 1629026596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas J Kelly
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2006
- Last updated
- Mar 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | OS6762 | FL | Yes |
Practice location
1000 Mar Walt DrFort Walton Beach, FL 32547-6708
Phone 850-863-7607 · Fax 205-437-5998
Mailing address
Po Box 88452Chicago, IL 60680-1452
Phone 205-437-6098 · Fax 205-437-5998
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