DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY KELLAM

Active Sole Proprietor

TRACY KELLAM is a Contractor healthcare provider located in YOUNGSTOWN, Ohio. NPI 1104498344 is currently active in the NPPES registry. Verify at CMS.

Contractor · YOUNGSTOWN, OH

Registration Details

NPI Number
1104498344
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2021 (5.0889588929692 yrs)
Last Updated
Jul 16, 2021
License
0325993 (OH)
Sole Proprietor
Yes

Practice Information

Address
4120 EUCLID BLVD
YOUNGSTOWN, OH, 445121305
Browse OH providers · Browse ZIP 44512
Phone
3309841505
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in YOUNGSTOWN, OH

Name Credential NPI
HELENA M HASCHENBURGER 1174736094
MS. KAYLI HALL 1295193647
KRISTEN MAYHEW 1174055537
ROBERTA L ROGERS 1205330396
CHAVONNE PATTERSON 1013474642
ALYCIA MARSHELL BOLDS 1386313005
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.