Individual
DR. JAMES THOMAS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26908 COOK RD, OLMSTED FALLS, OH 44138-3548
(440) 414-9700
(216) 201-5584
Mailing address
26908 COOK RD, OLMSTED TWP, OH 44138-3548
(440) 414-9700
(216) 201-5584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35057401
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128714
ANTHEM
OH
01
—
080144355
RAIL ROAD MEDICARE
—
05
—
0885190
—
OH
01
—
F57401
SUMMA
OH
Enumeration date
01/27/2006
Last updated
01/07/2021
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