All Medicaid billing entities listing BLACK, KELLI (BILLING MANANGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Ohio | 1 | $3K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LIFEVITALITY USA MEDICAL GROUP, LLC | RICHMOND HEIGHTS, OH | Multi-Specialty Clinic/Center | $3K |