person
Brennan L Kelly
Surgical Physician Assistant in Kettering, Ohio
NPI 1881096311

Brennan L Kelly is a Surgical Physician Assistant based in Kettering, OH and is specialized in Surgical. Brennan L Kelly practices in Kettering, OH. The NPI Number for Brennan L Kelly is 1881096311 and holds a License No. 50004106 (Ohio).

The current practice location address for Brennan L Kelly is 3700 Southern Blvd Ste 300, Kettering, OH and can be reached out via phone at 937-643-9299 and via fax at 937-643-2343.

Location: 3700 Southern Blvd Ste 300, Kettering, OH, 45429-1226
person
Provider Profile Details
NPI Number
1881096311
Provider Name
Brennan L Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
3700 Southern Blvd Ste 300, Kettering, OH, 45429-1226
Phone Number
937-643-9299
Fax Number
937-643-2343
Provider Enumeration Date
09/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0110411 05 OH
institution
Provider Business Practice Location Address Details
Address
3700 Southern Blvd Ste 300
City
State
Zip
45429-1226
Phone Number
937-643-9299
Fax Number
937-643-2343
person
Provider Business Mailing Address Details
Address
3700 Southern Blvd Ste 300
City
State
Zip
45429-1226
Phone Number
937-643-9299
Fax Number
937-643-2343
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
50004106 (Ohio)
Definition
Definition to come...
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