Individual
MS. MARIEA REBECCA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2273
Mailing address
101 MCKINLEY AVE, BROOKLYN, NY 11208-2822
(347) 666-2803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015290
NY
363A00000X
Physician Assistant
Primary
50-005162RX
OH
Other
Enumeration date
12/06/2011
Last updated
01/14/2021
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