Individual
MRS. KELLY ANN MEXICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER N
Contact information
Practice address
3555 OLENTANGY RIVER ROAD, NATIONWIDE CHILDRENS HOSPITAL AT RIVERSIDE METHODIST HO, COLUMBUS, OH 43214
(614) 566-5366
(614) 566-6675
Mailing address
700 CHILDRENS DRIVE, COLUMBUS, OH 43205
(614) 722-6510
(614) 722-4772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN223475
OH
363L00000X
Nurse Practitioner
Primary
NP01142
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
MEX104280114
OH
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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