National Provider Identifier

Jy Thomas Kelley

Jy Thomas Kelley is listed in the NPPES registry with a primary specialty of Counselor in Lyons, NY and a listed phone number of (315) 946-5722.

NPI 1891197836Lyons, NYCounselor

Profile Overview

NPI
1891197836
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
September 22, 2014
Last Updated
September 22, 2014

Practice Location

  • 1519 Nye RD
  • Lyons, NY 14489-9133

Phone: (315) 946-5722

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1891197836
Entity Type
Individual
Last Name
Kelley
First Name
Jy
Middle Name
Thomas
Mailing Street Address
1519 Nye RD
Mailing City
Lyons
Mailing State
NY
Mailing ZIP Code
14489-9133
Mailing Country
US
Mailing Phone
(315) 946-5722
Mailing Fax
(315) 946-7079
Practice Street Address
1519 Nye RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9133
Practice Country
US
Practice Phone
(315) 946-5722
Practice Fax
(315) 946-7079
Enumeration Date
September 22, 2014
Last Updated
September 22, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)