License holder summary

KELLY MICHAEL STEPHEN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for KELLY MICHAEL STEPHEN is PROVIDENCE RI. This doctor license is not current. The license was granted 03/01/2007.

New York

Office of the Professions

KELLY MICHAEL STEPHEN
Medicine (Physician, Including M Ds & D Os)
License number
243253
Date granted
03/01/2007
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
PROVIDENCE RI
nymedicine.org
ID 30185106
LAST UPDATED 2024-04-25 23:35:19 UTC

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