NPI 1043611783
Jerry Kelly
Practice location
- Address
- 1061 Harmon Ave, Fort Stewart, GA 31314-5641
- Phone
- (912) 435-5211
Registered specialties
Military Health Care Provider
Primary
Registry record
- NPI
- 1043611783
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Sep 2014
- Record last updated
- 12 Sep 2014
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.