Brian Kellert D.O.

NPI 1215224761 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1215224761
Gender Male
Enumeration Date 07/06/2011
Last Updated 07/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
395 W 12TH AVE
COLUMBUS OH, 43210-1267, US
Phone (614) 293-8515
Fax (614) 293-5877
Business Location
395 W 12TH AVE
COLUMBUS OH, 43210-1267, US
Phone (614) 293-8515
Fax (614) 293-5877
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Brian Kellert D.O. NPI is 1215224761, taxonomy code is 390200000X Brian Kellert D.O. physically located at 395 W 12th Ave, Columbus OH, 43210-1267. NPI Number Brian Kellert D.O. has the Individual type.

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1215224761 NPI number is provided on an as is basis without warranty of any kind. 1215224761 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Kellert D.O. are for informational purposes only.