Individual
ISABELLA PEARL KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 STATE ROUTE 59, KENT, OH 44240-7105
(330) 552-4000
Mailing address
612 EDGEWOOD DR, KENT, OH 44240-2637
(330) 442-2241
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
183479
OH
2255A2300X
Athletic Trainer
183479
OH
Other
Enumeration date
02/01/2024
Last updated
05/03/2024
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