Individual
KELSEY BULVONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9318 STATE ROUTE 14, STREETSBORO, OH 44241-5224
(330) 626-3111
(330) 626-5978
Mailing address
UH STREETSBORO FAMILY PRACTICE, 9318 STATE ROUTE 14 THIRD FLOOR, STREETSBORO, OH 44241
(330) 626-3111
(330) 626-5978
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.014275
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230031
—
WI
Enumeration date
04/12/2017
Last updated
06/23/2023
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