Individual
MRS. STACY SUE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6515 PULLMAN DR, LEWIS CENTER, OH 43035-7380
(614) 688-7150
(614) 688-7155
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 688-7150
(614) 688-7155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.12521
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.12521
OH
Other
Enumeration date
08/11/2011
Last updated
03/07/2025
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