NPI 1578702833

J.Kelley Salon

Organisation Prosthetic/Orthotic Supplier Yarmouth, ME

Practice location

Address: 81 Bridge St, Yarmouth, ME 04096-6744
Phone: (207) 846-9696

Authorised official

Name: Jill Marie Kelley
Title: Owner
Phone: (207) 846-9696

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CO13731 (ME)

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Registry record

NPI: 1578702833
Entity type: Organization
NPI issued: 10 Feb 2009
Record last updated: 10 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.