Individual
GAVIN WILLIAM KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
28115 SOUTHBRIDGE CIR, WESTLAKE, OH 44145-5327
(440) 941-2959
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
35.155567
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
04/20/2026
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