| Doctor Name: | MR. DENNIS WILLIAM KELLINGTON |
| NPI Number: | 1205869500 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, ATC |
| License Number: | 001364-1 |
| Business Practice Address: | Manley Field House Syracuse, NY - 132445020 |
| Business Phone Number: | 3154434775 |
| Business Fax Number: | 3154435057 |
| Mailing Address: | Manley Field House, SYRACUSE |
| State: | NY |
| Postal Code: | 132445020 |
| Phone Number: | 3154434775 |
| Fax Number: | 3154435057 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | 001364-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |