Individual provider · Type 1 NPI
Thomas Patrick Kelly
Private Vehicle · Mentor, OH
NPI number
1487469672
Active
Practice location
8311 Brodie Blvd
Mentor, OH 44060-7520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | JWM2444 (OH) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1487469672
Thomas Patrick Kelly's National Provider Identifier is 1487469672, issued on Feb 12, 2025. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Mentor, OH. The record was last updated on Feb 12, 2025.