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NPI Code Detail

MEDICARE: MORGAN KELLY

MEDICARE:   MORGAN  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
1224Z00000XOccupational Therapy AssistantOTA008332OH

General Provider Information

NPI Number : 1396455960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN KELLY
Provider Business Mailing Address
First Line : 14550 CRESTVIEW DR
Second Line :
City : NOVELTY
State : OH
Zip : 44072-9739
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6200 LANDERHAVEN DR
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4129
Country : US
Telephone Number : 440-869-3158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2022
Last Update Date : 12/05/2022

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Directions to “ MORGAN KELLY ” Practice Location

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