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NPI Code Detail

MEDICARE: MRS. RACHELE MARIE KELLY

MEDICARE: MRS. RACHELE MARIE KELLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP.13474OH

General Provider Information

NPI Number : 1003747577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHELE MARIE KELLY
Provider Business Mailing Address
First Line : 11136 RAVENNA RD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-1022
Country : US
Telephone Number : 330-486-2000
Fax Number :
Provider Business Practice Location Address
First Line : 11136 RAVENNA RD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-1022
Country : US
Telephone Number : 330-486-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ MRS. RACHELE MARIE KELLY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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