Most Relevant Information
Provider Data
| NPI Number: | 1003204546 |
| Provider Name: | KELSEY SHONK |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT. 004537 |
Most Important Dates
| Enumeration Date: | 01/07/2015 |
| Last Updated: | 01/07/2015 |
Provider Practice Location
2835 BEXLEY PARK RD
NONE
COLUMBUS
OH
432092233
Practice Location Phone/Fax
| Phone: | 6145578152 |
| Fax: |
Provider Mailing Location
2835 BEXLEY PARK RD
COLUMBUS
OH
432092233
Provider Mailing Phone/Fax
| Phone: | 6145578152 |
| Fax: |