MEDICARE: OLGA KELLAR

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
1	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1275489676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA KELLAR

Provider Business Mailing Address
First Line	:	203 HIDDEN CV
Second Line	:
City	:	AMHERST
State	:	OH
Zip	:	44001-3344
Country	:	US
Telephone Number	:	440-567-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	639 CHERRYWOOD LN
Second Line	:
City	:	PAINESVILLE
State	:	OH
Zip	:	44077-6177
Country	:	US
Telephone Number	:	440-796-7074
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ OLGA KELLAR ” Practice Location

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