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
State
Ohio
ZIP Code
44512-1305
Phone
(330) 984-1505

Specialties & Taxonomy Codes

Specialty
Contractor

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