Individual
CAROL E KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
18101 LORAIN ROAD, CLEVELAND, OH 44111
(216) 476-7000
Mailing address
PO BOX 74953, CLEVELAND, OH 44194-1036
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-001861
OH
Other
Enumeration date
11/11/2009
Last updated
05/29/2024
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