| Doctor Name: | MR. DAVID CHARLES KELLY |
| NPI Number: | 1104014299 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | N8861468 |
| Business Practice Address: | 8915 Cherry St Blue Ash, OH - 452427846 |
| Business Phone Number: | 9372324496 |
| Business Fax Number: | |
| Mailing Address: | 8915 Cherry St, BLUE ASH |
| State: | OH |
| Postal Code: | 452427846 |
| Phone Number: | 9372324496 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2007 |
| NPI Last Update Date: | 10/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471N0900X |
| License Number: | N8861468 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Nuclear Medicine Technology |
| Taxonomy Definition: | |