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Organization
KELLY K. OMALIA MD INC.
Active
Organization
KELLY K. OMALIA MD INC.
Active
Other names
BRISTOLVILLE FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KIRSTEN O'MALIA MD (PRESIDENT)
(330) 889-9009
Entity
Organization
Contact information
Practice address
6265 STATE ROUTE 45, BRISTOLVILLE, OH 44402-8728
(330) 889-9009
(330) 889-9278
Mailing address
6265 STATE ROUTE 45, PO BOX 280, BRISTOLVILLE, OH 44402-0280
(330) 889-9009
(330) 889-9278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35073030
OH
Other
Enumeration date
05/31/2005
Last updated
02/11/2009
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