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Individual

KELLI JEAN MELVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
715 W STATE ST, TRENTON, OH 45067-9220
(513) 988-6067
(513) 988-6070
Mailing address
715 W STATE ST, TRENTON, OH 45067-9220
(513) 988-6067
(513) 988-6070

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35082342
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2461232
OH
01
283160
AMERIGROUP
OH
01
7082442
AETNA
OH
01
8234201
HUMANA
OH
Enumeration date
12/16/2005
Last updated
03/31/2025
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