Individual
JASON KELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
116 EAST AVE, SUITE 4, TALLMADGE, OH 44278-2300
(216) 245-1290
(866) 571-4884
Mailing address
3733 PARK EAST DR, SUITE 240, BEACHWOOD, OH 44122-4338
(216) 672-4330
(866) 571-4884
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003762
OH
Other
Enumeration date
04/22/2013
Last updated
07/07/2016
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