Provider Demographics
NPI:1104838713
Name:RAMEY, KELLY (DO)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:RAMEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:404 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:OH
Mailing Address - Zip Code:44839-1463
Mailing Address - Country:US
Mailing Address - Phone:419-433-8061
Mailing Address - Fax:419-433-8061
Practice Address - Street 1:3416 COLUMBUS AVE
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5557
Practice Address - Country:US
Practice Address - Phone:419-625-7350
Practice Address - Fax:419-625-6660
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34-00-5771207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN