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Individual
MICHAEL H. KELLEY
Active
Individual
MICHAEL H. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-003256
OH
207Q00000X
Family Medicine Physician
Primary
TL1223
SC
Other
Enumeration date
12/01/2006
Last updated
08/09/2011
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