Individual
ELIZABETH A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-4081
(513) 584-2579
Mailing address
2830 VICTORY PKWY, SUITE 140, CINCINNATI, OH 45206-1785
(513) 245-3113
(513) 245-3110
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-062729
OH
207V00000X
Obstetrics & Gynecology Physician
37857
KY
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
35-062729
OH
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
37857
KY
207VG0400X
Gynecology Physician
35-062729
OH
207VG0400X
Gynecology Physician
37857
KY
207VX0000X
Obstetrics Physician
35-062729
OH
207VX0000X
Obstetrics Physician
37857
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0871123
—
OH
05
—
64936644
—
KY
Enumeration date
06/29/2006
Last updated
01/07/2014
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