BRYAN KELLY

Driver

Active Individual
NPI: 1437963147

Practice Address

9656 S WALLACE ST
Chicago, IL 60628

Phone: (773) 510-9853

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1437963147 is the National Provider Identifier for BRYAN KELLY, a Driver provider located in Chicago, IL. This NPI was enumerated on February 3, 2025.
BRYAN KELLY practices at 9656 S WALLACE ST, Chicago, IL 60628.

Quick Facts

NPI
1437963147
Type
Individual
Enumerated
Feb 3, 2025
Last Updated
Feb 3, 2025

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