Search › Ohio › 104100000X
Kelly Blakely
NPI 1518508563 · on the registry since 2019
Practice
- Address
- 1384 W 117th St
Lakewood, OH 44107 - Phone
- (216) 221-7588
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-01
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