Organization
KRISTOPHER J. KELLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTOPHER J KELLY M.D. (OWNER)
(419) 893-4883
Entity
Organization
Contact information
Practice address
5655 MONCLOVA RD, MAUMEE, OH 43537-1870
(419) 893-4883
(419) 893-2312
Mailing address
5655 MONCLOVA RD, MAUMEE, OH 43537-1870
(419) 893-4883
(419) 893-2312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35087489
OH
Other
Enumeration date
05/12/2012
Last updated
05/12/2012
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