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Individual
ANDREA KELLAR
Active
Individual
ANDREA KELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24216
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074200
—
OH
05
—
3810009791
—
WV
05
—
7100183110
—
KY
Enumeration date
07/23/2007
Last updated
11/13/2020
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