Individual
DR. KELLEY L CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4605 SAWMILL RD, UPPER ARLINGTON, OH 43220-2246
(614) 827-8700
(614) 827-8701
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 545-7900
(614) 545-7901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-084799
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35-084799
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691332
—
OH
Enumeration date
07/31/2006
Last updated
03/13/2025
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