Individual
MS. CAROL LOREEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
25200 CENTER RIDGE RD, SUITE 2300, WESTLAKE, OH 44145-4141
(440) 331-5053
Mailing address
25200 CENTER RIDGE ROAD, SUITE 2300, WESTLAKE, OH 44145
(440) 331-5053
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18100-NP
OH
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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