Individual
DR. KELLY TOMASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1053 BELMONT AVE, YOUNGSTOWN, OH 44504-1007
(330) 480-3605
(330) 480-2948
Mailing address
3685 STUTZ DR, STE 101, CANFIELD, OH 44406-9175
(330) 729-9514
(330) 729-9591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.094320
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3098482
—
OH
Enumeration date
02/04/2010
Last updated
02/23/2022
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