Individual
MRS. BARBARA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WASHINGTON ST, NEW RICHMOND, OH 45157-1251
(513) 200-6213
Mailing address
111 WASHINGTON ST, NEW RICHMOND, OH 45157-1251
(513) 200-6213
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302021
—
OH
Enumeration date
11/14/2020
Last updated
11/14/2020
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