Individual
KELSIE N MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, PNP-AC
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(147) 222-0000
(614) 722-3454
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0036098
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0036098
OH
Other
Enumeration date
06/24/2024
Last updated
04/24/2025
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