BENJAMIN KELLY

MC DERMOTT, OH
NPI1356191035
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: OH  APS.004918)
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
BENJAMIN KELLY PRS
9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH 45652-3902
Phone number: 740-858-6683
Mailing Address
BENJAMIN KELLY PRS
546 2ND ST APT 11
PORTSMOUTH, OH 45662-3886
Phone number: