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KELLY K. OMALIA MD INC. NPI 1184627408


NPI Information

NPI: 1184627408
Provider Name: KELLY K. OMALIA MD INC.

Doing Business As: BRISTOLVILLE FAMILY HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6265 STATE ROUTE 45
BRISTOLVILLE, OH
ZIP 44402
Phone: (330) 889-9009
Get Directions

KELLY K. OMALIA MD INC. is a family medicine in Bristolville, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KELLY K. OMALIA MD INC. NPI is 1184627408. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bristolville Family Health Center.

The provider's business location address is:

6265 STATE ROUTE 45
BRISTOLVILLE, OH
ZIP 44402-728
Phone: (330) 889-9009
Fax: (330) 889-9278

The provider's authorized official is Kelly Kirsten O'malia .
The authorized official title is President and has the following contact phone number (330) 889-9009.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 2/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine35073030OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1KE9333231MEDICARE ID-TYPE UNSPECIFIEDOHIO
2=========00OTHEROHIOWORKERS COMP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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