Individual
MICHAEL LEE KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20000 HARVARD AVE, WARRENSVILLE HEIGHTS, OH 44122-6805
(216) 491-6000
Mailing address
554 MEADOWRIDGE WAY, HUDSON, OH 44236-1182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34008057K
OH
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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