Individual
DR. LISA DIANE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 569-3741
(513) 569-3941
Mailing address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 569-3741
(513) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.124458
OH
207W00000X
Ophthalmology Physician
D0052537
MD
Other
Enumeration date
10/18/2005
Last updated
08/06/2015
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