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NPI Code Detail

MEDICARE: KELLY DRONGOWSKI

MEDICARE: KELLY DRONGOWSKI
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.196138OH

General Provider Information

NPI Number : 1982424156
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY DRONGOWSKI
Provider Business Mailing Address
First Line : 13377 SMITH RD
Second Line :
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-7810
Country : US
Telephone Number : 440-340-5558
Fax Number :
Provider Business Practice Location Address
First Line : 13377 SMITH RD
Second Line :
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-7810
Country : US
Telephone Number : 440-340-5558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2024
Last Update Date : 06/08/2026

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Directions to “ KELLY DRONGOWSKI ” Practice Location

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