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Marcus D Kelly

Case Manager/Care Coordinator in Toledo, OH. Individual provider (NPI-1).

NPI number1043701477
StatusActive
Last updated in NPPESMay 21, 2018

Details

NPI
1043701477
Entity type
Individual (NPI-1)
Name
Marcus D Kelly
Sex
Male
Sole proprietor
Yes
Enumeration date
May 21, 2018
Last updated
May 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

500 Madison Ave Ste 300
Toledo, OH 43604-1257

Phone 567-312-8700

Mailing address

4240 Asbury Dr
Toledo, OH 43612-1806

Phone 419-508-1199

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