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Individual

DR. KELLY E ESTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
551 WASHINGTON ST, CHAGRIN FALLS, OH 44022-4403
(440) 893-9393
Mailing address
5555 TRANSPORTATION BLVD, CLEVELAND, OH 44125-5371

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.126729
OH
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
35.126729
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881960060
MO
Enumeration date
04/01/2012
Last updated
05/10/2024
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