Individual
KELLY RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(440) 344-4253
Mailing address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(440) 344-4253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Enumeration date
09/11/2017
Last updated
12/28/2023
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