TRACY KELLAM

Contractor

Active Individual
NPI: 1104498344

Practice Address

4120 EUCLID BLVD
Youngstown, OH 44512

Phone: (330) 984-1505

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 0325993 (OH)

Frequently Asked Questions

NPI 1104498344 is the National Provider Identifier for TRACY KELLAM, a Contractor provider located in Youngstown, OH. This NPI was enumerated on July 16, 2021.
TRACY KELLAM practices at 4120 EUCLID BLVD, Youngstown, OH 44512.

Quick Facts

NPI
1104498344
Type
Individual
Enumerated
Jul 16, 2021
Last Updated
Jul 16, 2021

Nearby Providers