Individual
TODD C KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4460 RED BANK RD STE 110, CINCINNATI, OH 45227-2173
(513) 791-5200
(513) 791-5229
Mailing address
4460 RED BANK RD STE 110, CINCINNATI, OH 45227-2173
(513) 791-5200
(513) 791-4229
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-095612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201001710
—
IN
05
—
3091014
—
OH
05
—
7100124750
—
KY
Enumeration date
05/25/2007
Last updated
04/21/2023
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