SearchOhio103K00000X

Kelly Mccollam

NPI 1295307593 · on the registry since 2021 · sole proprietor

Practice

Address
4861 Duck Creek Rd
Cincinnati, OH 45227
Phone
(513) 832-2884
Clinicians at this address
101

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-08

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