Individual
DR. ERICA JANE KELLY MANTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3773 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3425
(614) 566-3810
(614) 566-3895
Mailing address
3773 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3425
(614) 566-3810
(614) 566-3895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.142940
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35.142940
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/02/2019
Last updated
12/05/2023
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