Individual
ANDREW JOSEPH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(832) 331-4428
Mailing address
2107 MARS AVE, LAKEWOOD, OH 44107-5842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.521537
OH
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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