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Tracy Kellam
NPI 1104498344 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4120 Euclid Blvd
Youngstown, OH 44512 - Phone
- (330) 984-1505
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio