Kristopher J. Kelly LLC

NPI #1083973903 in Maumee, Ohio

Provider Information

NPI Number: 1083973903
Entity Type: Organization
Organization Name: Kristopher J. Kelly LLC
Primary Specialty: Specialist
Enumeration Date: May 12, 2012
Last Updated: May 12, 2012

Practice Location

Address: 5655 MONCLOVA RD
City: Maumee
State: Ohio
ZIP Code: 43537-1870
Phone: (419) 893-4883

Authorized Official

Name: MR. KRISTOPHER J KELLY, M.D.
Title: OWNER
Phone: (419) 893-4883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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