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Kelly Sample

NPI 1427646025 · on the registry since 2021 · sole proprietor

Practice

Address
12065 Nicki Ln
Chardon, OH 44024
Phone
(440) 226-0867
Clinicians at this address
2

Registry record

Primary taxonomy
376J00000X
376J00000X
Sex
Male
Record last updated
2021-01-08

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