Search › Ohio › 175T00000X
Matthew Kellough, PRS
NPI 1265158273 · on the registry since 2022
Practice
- Address
- 551 E Main St
Lancaster, OH 43130 - Phone
- (614) 404-6008
- Organisation at this address
- The Creed Of Recovery, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio