Individual
BEN DANIEL O'KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5854
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.012531
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193831
—
OH
05
—
1912295338
—
WV
Enumeration date
07/19/2011
Last updated
11/06/2020
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