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Mr. John J Kelley JR., BCO
Other Specialist/Technologist in Towson, Maryland
NPI 1942374731

John J Kelley JR. is a Other Specialist/Technologist based in Towson, MD. John J Kelley JR. practices in Towson, MD and has the professional credentials of BCO. The NPI Number for John J Kelley JR. is 1942374731 and holds a License No. (Maryland).

The current practice location address for John J Kelley JR. is 1107 Kenilworth Dr, Towson, MD and can be reached out via phone at 410-828-5628 and via fax at 419-828-5629.

Location: 1107 Kenilworth Dr, Towson, MD, 21204-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942374731
Provider Name
John J Kelley JR.
Credential
BCO
Provider Entity Type
Individual
Gender
Male
Address
1107 Kenilworth Dr, Towson, MD, 21204-2140
Phone Number
410-828-5628
Fax Number
419-828-5629
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y391 01 MD FED BC BS
52455501 01 MD BC BS REGION
institution
Provider Business Practice Location Address Details
Address
1107 Kenilworth Dr
City
Towson
State
Maryland
Zip
21204-2140
Phone Number
410-828-5628
Fax Number
419-828-5629
person
Provider Business Mailing Address Details
Address
1107 Kenilworth Dr
City
Towson
State
Maryland
Zip
21204-2140
Phone Number
410-828-5628
Fax Number
419-828-5629
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
156FX1700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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