Individual
LISA COLLIER KELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 745-7200
Mailing address
101 WYOMING ST, DAYTON, OH 45409-2732
(937) 208-2317
(937) 208-4487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25 MA07655500
NJ
207Q00000X
Family Medicine Physician
Primary
35.093878
OH
207Q00000X
Family Medicine Physician
MD 0422608
PA
207Q00000X
Family Medicine Physician
MD0000019768
TN
Other
Enumeration date
02/08/2007
Last updated
06/06/2022
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