| Doctor Name: | JODI MELINDA KELLEY |
| NPI Number: | 1184029894 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | COA.15155-NP |
| Business Practice Address: | 7777 Yankee Rd Ml 16026 Liberty Township, OH - 450443500 |
| Business Phone Number: | 5138039600 |
| Business Fax Number: | 5138039659 |
| Mailing Address: | 7777 Yankee Rd, Ml 16026 LIBERTY TOWNSHIP |
| State: | OH |
| Postal Code: | 450443500 |
| Phone Number: | 5138039600 |
| Fax Number: | 5138039659 |
| NPI Enumeration Date: | 10/24/2014 |
| NPI Last Update Date: | 01/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | COA.15155-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |