Individual
KELLI HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10220 ALLIANCE RD, BLUE ASH, OH 45242-4710
(513) 841-7800
Mailing address
5855 SOVEREIGN DR, CINCINNATI, OH 45241-6080
(513) 349-7783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006453RX
OH
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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