| Doctor Name: | DR. KELLY MARIE MCLEAN |
| NPI Number: | 1942237318 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 35.086702 |
| Business Practice Address: | 234 Goodman St Cincinnati, OH - 452192364 |
| Business Phone Number: | 5135844318 |
| Business Fax Number: | 5135843020 |
| Mailing Address: | 2830 Victory Pkwy, CINCINNATI |
| State: | OH |
| Postal Code: | 452061785 |
| Phone Number: | 5132453335 |
| Fax Number: | 5134757259 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 04/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35.086702 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |