Individual
BRIAN R. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776
Mailing address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
57-013112
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068002
—
OH
01
—
P01225054
MEDICARE RAILROAD
OH
Enumeration date
09/21/2007
Last updated
05/18/2015
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