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Individual

JAY P KELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1945 CEI DR, CINCINNATI, OH 45242-5664
(513) 984-5133
Mailing address
1945 CEI DR, CINCINNATI, OH 45242-5664
(513) 984-5133

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.039665
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000522337
ANTHEM
OH
05
0326409
OH
05
200857170
IN
05
7100003830
KY
Enumeration date
09/13/2005
Last updated
01/25/2011
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