Individual
KELLY LYNN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-A
Contact information
Practice address
8254 MAYFIELD RD, SUITE #6, CHESTERLAND, OH 44026-2593
(440) 729-4325
(440) 729-4357
Mailing address
8254 MAYFIELD RD, SUITE 6, CHESTERLAND, OH 44026-2593
(440) 729-4325
(440) 729-4357
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A. 00194
OH
Other
Enumeration date
12/13/2007
Last updated
09/01/2011
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