Kelly O'connor, PA-C

NPI #1841534336 in Mentor, Ohio

Provider Information

NPI Number: 1841534336
Entity Type: Individual
Name: Kelly O'connor, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 21, 2012
Last Updated: Feb 9, 2021

Practice Location

Address: 7232 JUSTIN WAY
City: Mentor
State: Ohio
ZIP Code: 44060-4881
Phone: (440) 578-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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