Individual
KIMBERLY RENEE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01095424A
IN
207L00000X
Anesthesiology Physician
Primary
35055699
OH
Other
Enumeration date
11/07/2005
Last updated
04/02/2025
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