Kelli Black

NPI #1104589878 in Cleveland Heights, Ohio

Provider Information

NPI Number: 1104589878
Entity Type: Individual
Name: Kelli Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Oct 19, 2021
Last Updated: Dec 7, 2023

Practice Location

Address: 724 QUILLIAMS RD
City: Cleveland Heights
State: Ohio
ZIP Code: 44121-1956
Phone: (216) 512-5929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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