Individual
GEORGE J KELLIS
Active
Individual
GEORGE J KELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.052298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0610708
—
OH
01
—
139661
ANTHEM
OH
01
—
200022186
MEDICARE RAIL ROAD
OH
01
—
4134463
AETNA
OH
Enumeration date
12/28/2005
Last updated
11/02/2023
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