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Individual

MR. DAVID CHARLES KELLY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8915 CHERRY ST, BLUE ASH, OH 45242-7846
(937) 232-4496
Mailing address
8915 CHERRY ST, BLUE ASH, OH 45242-7846
(937) 232-4496

Taxonomy

Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
N8861468
OH

Other

Enumeration date
10/15/2007
Last updated
10/15/2007
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