Individual
MR. CONN OSCAR KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 MIDWAY DRIVE, KENT, OH 44242-0001
(802) 598-1282
Mailing address
2914 GREEN RD, SHAKER HEIGHTS, OH 44122-3052
(802) 598-1282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
08/31/2022
Last updated
09/14/2022
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