Organization
KELLY R WHALEY
Active
Other names
Dr Kelly R Whaley LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RADER WHALEY DPM (OWNER)
(216) 374-5001
Entity
Organization
Contact information
Practice address
144 LARIMAR DR, WILLOWICK, OH 44095-5212
(216) 229-0292
(440) 975-1963
Mailing address
PO BOX 182, WICKLIFFE, OH 44092-0182
(216) 374-5001
(440) 975-1963
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36003068
OH
Other
Enumeration date
01/12/2012
Last updated
05/20/2025
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