Tracy Kellam is a Contractor based in Youngstown, OH. Tracy Kellam practices in Youngstown, OH. The NPI Number for Tracy Kellam is 1104498344 and holds a License No. 0325993 (Ohio).
The current practice location address for Tracy Kellam is 4120 Euclid Blvd, Youngstown, OH and can be reached out via phone at 330-984-1505.
Location: 4120 Euclid Blvd, Youngstown, OH, 44512-1305
Provider Profile Details
NPI Number
1104498344
Provider Name
Tracy Kellam
Credential
Provider Entity Type
Individual
Gender
Female
Address
4120 Euclid Blvd, Youngstown, OH, 44512-1305
Phone Number
330-984-1505
Fax Number
Provider Enumeration Date
07/16/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0325993 | 05 | OH |
Provider Business Practice Location Address Details
Address
4120 Euclid Blvd
City
State
Zip
44512-1305
Phone Number
330-984-1505
Fax Number
Provider Business Mailing Address Details
Address
4120 Euclid Blvd
City
State
Zip
44512-1305
Phone Number
330-984-1505
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
0325993 (Ohio)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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