| Doctor Name: | MRS. ANITA LOUISE KELLON |
| NPI Number: | 1063423960 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 106682 |
| Business Practice Address: | 10000 Brecksville Rd Brecksville, OH - 441413204 |
| Business Phone Number: | 4405263030 |
| Business Fax Number: | 4408386085 |
| Mailing Address: | 4379 Brooks Rd, CLEVELAND |
| State: | OH |
| Postal Code: | 441056009 |
| Phone Number: | 2164291761 |
| Fax Number: | 2164291823 |
| NPI Enumeration Date: | 08/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 106682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |