Tracy Kellam
Contractor · Youngstown, OH
Practice location
4120 Euclid BlvdYoungstown, OH 44512-1305
- Phone
- (330) 984-1505
NPI record
- NPI
- 1104498344
- Entity type
- Individual (Type 1)
- Enumeration date
- July 16, 2021
- Last updated
- July 16, 2021
- Certified
- July 16, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
0325993 | OH |
About Tracy Kellam
Tracy Kellam is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 4120 Euclid Blvd, Youngstown, OH 44512-1305. The NPI number 1104498344 was assigned on July 16, 2021 and the record was last updated on July 16, 2021.
Tracy Kellam lists a license in the registry: #0325993 (OH) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tracy Kellam?
The NPI number is 1104498344.
What is the phone number of Tracy Kellam?
The phone number listed for the practice location is (330) 984-1505.
Where is Tracy Kellam located?
4120 Euclid Blvd, Youngstown, OH 44512-1305.
What is the taxonomy code for Tracy Kellam?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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