Individual
KRISTOPHER J KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5655 MONCLOVA RD, MAUMEE, OH 43537-1835
(419) 893-4883
(419) 893-2312
Mailing address
5655 MONCLOVA RD, MAUMEE, OH 43537-1835
(419) 893-4883
(419) 893-2312
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35087489
OH
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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