Individual
MRS. KELSEY JEANNE DIRUTIGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 EAST BROAD STREET, COLUMBUS, OH 43205-1015
(614) 252-8300
(614) 252-6637
Mailing address
800 EAST BROAD STREET, COLUMBUS, OH 43205-1015
(614) 252-8300
(614) 252-6637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.004940RX
OH
363AM0700X
Medical Physician Assistant
Primary
50.004940RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223382
—
OH
Enumeration date
01/20/2017
Last updated
10/24/2024
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