Individual
KELLY M. PITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3050 MACK RD, SUITE 200, FAIRFIELD, OH 45014-5379
(513) 924-8915
(513) 924-8929
Mailing address
3050 MACK RD, SUITE 200, FAIRFIELD, OH 45014-5379
(513) 924-8915
(513) 924-8929
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091479
—
OH
Enumeration date
07/30/2013
Last updated
01/24/2023
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