Individual
MRS. MICHELLE LYNN KELLY-DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1001 LAKESIDE AVE E, SUITE 1000, CLEVELAND, OH 44114-1158
(216) 906-9526
(866) 450-2592
Mailing address
1001 LAKESIDE AVE E, SUITE 1000, CLEVELAND, OH 44114-1158
(216) 906-9526
(866) 450-2592
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-08540
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP-08540
LICENSE NUMBER
OH
Enumeration date
10/11/2006
Last updated
05/20/2014
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