Individual
DR. MICHAEL E KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8950 EUCLID AVE, CLEVELAND, OH 44195-1063
(216) 444-5517
(216) 444-3577
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-5517
(216) 444-3577
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
35.131181
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039906262Q
HUMANA
—
05
—
1306089230
—
WI
Enumeration date
05/15/2006
Last updated
11/09/2020
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