Individual
NANCY P KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7655 5 MILE RD, SUITE 101, CINCINNATI, OH 45230-4326
(513) 231-3345
(513) 624-2588
Mailing address
PO BOX 158, SUITE 101, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 747-7396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35061711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004204
ANTHEM INSURANCE
OH
05
—
2203387
—
OH
Enumeration date
01/23/2006
Last updated
12/28/2016
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