Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 19914 | WV |
Y | 207RH0003X | Hematology & Oncology | 35066560 | OH |
NPI | 1023113727 |
---|---|
Provider Name | Kelli A Cawley |
First Address | Marietta, OH 45750-9549 |
Second Address | Belpre, OH 45714-1068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 14/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0081829000 | (05) | WV |
0247003 | (05) | OH |
F83392 | (02) | WV |