| Kelly K. Omalia Md Inc. | |
|
6265 State Route 45 Bristolville OH 44402-8728 | |
| (330) 889-9009 | |
| (330) 889-9278 |
| Full Name | Kelly K. Omalia Md Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6265 State Route 45, Bristolville, Ohio |
| Authorized Official Name and Position | Kelly Kirsten O'malia (PRESIDENT) |
| Authorized Official Contact | 3308899009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly K. Omalia Md Inc. 6265 State Route 45 Po Box 280 Bristolville OH 44402-0280 Ph: (330) 889-9009 | Kelly K. Omalia Md Inc. 6265 State Route 45 Bristolville OH 44402-8728 Ph: (330) 889-9009 |
| NPI Number | 1184627408 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184627408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35073030 (Ohio) | Primary |