Individual
KELLY M HARBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
270 E STATE ST STE 240, ALLIANCE, OH 44601-4369
(330) 596-6560
Mailing address
270 E STATE ST STE 240, ALLIANCE, OH 44601-4369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34006309H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016820
—
OH
Enumeration date
10/18/2005
Last updated
09/10/2014
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