Individual
MARTHA E HARSHBARGER-KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3973 LOOMIS PKWY, SUITE D, RAVENNA, OH 44266-1803
(330) 296-2819
(330) 296-9503
Mailing address
16100 AUBURN RD, NEWBURY, OH 44065-9104
(440) 564-9408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-075827
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2243763
—
OH
Enumeration date
10/10/2006
Last updated
07/08/2007
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