Most Relevant Information
Provider Data
| NPI Number: | 1003527987 |
| Provider Name: | RAQUELL KELLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/12/2022 |
| Last Updated: | 12/12/2022 |
Provider Practice Location
5577 AIRPORT HWY STE 102
TOLEDO
OH
436157364
Practice Location Phone/Fax
| Phone: | 4192141770 |
| Fax: | 4192140922 |
Provider Mailing Location
5577 AIRPORT HWY STE 102
TOLEDO
OH
436157364
Provider Mailing Phone/Fax
| Phone: | 4192141770 |
| Fax: | 4192140922 |