Individual
MRS. VICTORIA MARIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 569-4963
Mailing address
8213 CLOVER LN, GARRETTSVILLE, OH 44231-1060
(330) 569-4963
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
421097
OH
164W00000X
Licensed Practical Nurse
PN.139832-M-IV
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020904
OH
Other
Enumeration date
04/18/2012
Last updated
12/12/2023
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