Individual provider · Type 1 NPI

Tracy Kellam

Contractor · Youngstown, OH

NPI number 1104498344 Active

Practice location

4120 Euclid Blvd
Youngstown, OH 44512-1305

Call (330) 984-1505 Map

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X0325993 (OH)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1104498344

Tracy Kellam's National Provider Identifier is 1104498344, issued on Jul 16, 2021. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Youngstown, OH. The record was last updated on Jul 16, 2021.