Tracy Kellam
NPI #1104498344 in Youngstown, Ohio
Provider Information
- NPI Number
- 1104498344
- Entity Type
- Individual
- Name
- Tracy Kellam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- Jul 16, 2021
- Last Updated
- Jul 16, 2021
Practice Location
- Address
- 4120 EUCLID BLVD
- City
- Youngstown
- State
- Ohio
- ZIP Code
- 44512-1305
- Phone
- (330) 984-1505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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