Individual
MR. DENNIS MICHAEL KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN NP
Contact information
Practice address
26600 NORMANDY RD, BAY VILLAGE, OH 44140-2318
(440) 835-8540
Mailing address
10701 EAST BLVD, LOUIS STOKES CLEVELAND VA MEDICAL CENTER, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 707-5959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA 00187
OH
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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