Individual
DIANA MARIE KELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
341 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH 44473-9601
(330) 394-2305
(330) 394-1405
Mailing address
PO BOX 636988, CINCINNATI, OH 45263-6988
(888) 940-2722
(513) 632-8898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA14840NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098717
—
OH
Enumeration date
07/29/2013
Last updated
10/14/2015
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