Individual
MRS. KELSEY ELIZABETH BODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6150 PARK SQUARE DR, STE B, LORAIN, OH 44053-4153
(440) 984-6499
(234) 757-7545
Mailing address
2000 AUBURN DR STE 350, BEACHWOOD, OH 44122-4327
(440) 646-1600
(440) 646-1505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009589RX
OH
363A00000X
Physician Assistant
PA13347
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/03/2019
Last updated
10/29/2025
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