Individual
KELLY RADER WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
144 LARIMAR DR, WILLOWICK, OH 44095-5212
(216) 229-0292
(440) 975-1963
Mailing address
PO BOX 182, WICKLIFFE, OH 44092-0182
(216) 229-0292
(440) 975-1963
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3068
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138467
—
OH
Enumeration date
12/04/2006
Last updated
03/24/2023
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