Individual
BRENDAN J KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-6526
(614) 293-4724
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-6526
(614) 293-4724
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35092074
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2869187
—
OH
01
—
P01576652
RAILROAD MEDICARE
OH
Enumeration date
08/30/2006
Last updated
03/02/2016
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