Individual
MICHAEL J KELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
150 SEVENTH AVE STE 200, CHARDON, OH 44024-2909
(440) 285-4999
(402) 855-8704
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(440) 285-4999
(440) 285-5870
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
34004183
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0658051
—
OH
01
—
139662
ANTHEM
OH
01
—
250006704
RR MEDICARE
OH
01
—
4073792
AETNA
OH
Enumeration date
08/09/2005
Last updated
11/02/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us