Individual
MR. JEFFREY ROBERT KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 E HELENA ST, DAYTON, OH 45404-1003
(937) 396-4838
Mailing address
225 E HELENA ST, DAYTON, OH 45404-1003
(937) 396-4838
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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