Individual
CAROL GENET KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, WRN 5057, CLEVELAND, OH 44106-1716
(216) 844-1520
Mailing address
25015 RUSHMORE CT, RICHMOND HEIGHTS, OH 44143-2545
(216) 368-8855
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP 00964
OH
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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