Individual provider · Type 1 NPI

Kelly Mahoney

Driver · Ravenna, OH

NPI number 1194429159 Active

Practice location

4669 Dewberry Cir
Ravenna, OH 44266-7842

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1194429159

Kelly Mahoney's National Provider Identifier is 1194429159, issued on Mar 27, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Ravenna, OH. The record was last updated on Mar 27, 2023.