Individual
KELLY K DEBROSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
915 MICHIGAN ST STE 201, SIDNEY, OH 45365-2401
(937) 498-5373
(937) 498-5377
Mailing address
915 MICHIGAN ST, SIDNEY, OH 45365-2401
(937) 497-5665
(937) 497-5674
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.024319
OH
Other
Enumeration date
02/21/2019
Last updated
12/15/2020
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