Individual
KELLY EMCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5700 MONROE ST UNIT 206, SYLVANIA, OH 43560-2735
(419) 473-6601
(419) 479-6966
Mailing address
5700 MONROE ST UNIT 206, SYLVANIA, OH 43560-2735
(419) 473-6601
(419) 479-6966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35060988
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141210
ANTHEM
OH
01
—
01-03521
UHC
OH
01
—
01356
PARAMOUNT
OH
01
—
0635211
AETNA
OH
01
—
080130442
RRMC
OH
05
—
0881818
—
OH
Enumeration date
08/11/2005
Last updated
11/03/2023
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