Individual
KATHERINE HEMMING RENNER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 COLEMANS XING STE 100, MARYSVILLE, OH 43040-7080
(937) 578-2650
Mailing address
140 COLEMANS XING STE 100, MARYSVILLE, OH 43040-7080
(937) 578-2650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26175
VA
Other
Enumeration date
07/11/2012
Last updated
07/21/2022
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