Individual
MARCYLYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 EAST 22ND STREET, CLEVELAND, OH 44115
(216) 931-1300
Mailing address
2500 EAST 22ND STREET, CLEVELAND, OH 44115
(216) 439-1934
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.403535
OH
164W00000X
Licensed Practical Nurse
138733
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098359
—
OH
Enumeration date
07/23/2010
Last updated
01/31/2017
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