Individual
MRS. MARY ELLEN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CNS
Contact information
Practice address
5141 MICHAEL ANTHONY LN, CINCINNATI, OH 45247-7945
(513) 574-6135
Mailing address
5141 MICHAEL ANTHONY LN, CINCINNATI, OH 45247-7945
(513) 574-6135
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
COA05921-NS
OH
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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