Kelley Mamede, PA

NPI #1003456286 in Marion, Ohio

Provider Information

NPI Number: 1003456286
Entity Type: Individual
Name: Kelley Mamede, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 15, 2020
Last Updated: Aug 18, 2022

Practice Location

Address: 402 S STATE ST
City: Marion
State: Ohio
ZIP Code: 43302-5000
Phone: (740) 387-0650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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