Individual
AMY R KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
770 JASONWAY AVE, SUITE 1-A, COLUMBUS, OH 43214-4333
(614) 459-2950
(614) 459-2975
Mailing address
770 JASONWAY AVE, SUITE 1-A, COLUMBUS, OH 43214-4333
(614) 459-2950
(614) 459-2975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-06-2106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894055
—
OH
Enumeration date
05/11/2006
Last updated
03/14/2011
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