Individual
KELLY VITELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
CLEVELAND CLINIC-FAIRVIEW HOSPITAL, 18101 LORAIN AVENUE, EMERGENCY SERVICES, CLEVELAND, OH 44111-5612
(216) 476-7312
Mailing address
WELLNOW URGENT CARE, 2340 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072
(716) 404-3731
(716) 404-3732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024662
NY
363A00000X
Physician Assistant
50.004735RX
OH
Other
Enumeration date
08/08/2016
Last updated
06/27/2024
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