OrganizationActive
Kristopher J. Kelly LLC
NPI 1083973903 · Specialist · Maumee, OH
Provider details
- NPI number
- 1083973903
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kristopher Kelly, Owner(419) 893-4883
- License
- 35087489 (OH)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5655 Monclova Rd
Maumee, OH 43537-1870
Phone: (419) 893-4883
Fax: (419) 893-2312
Street-level locationGet directions
Mailing address
5655 Monclova Rd
Maumee, OH 43537-1870
Registry dates
- Enumerated
- 2012-05-12
- Last updated
- 2012-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.