Individual
KELLIE KLIMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2360 SOUTHEAST BLVD, SALEM, OH 44460-3418
(330) 337-1134
(330) 337-1008
Mailing address
2279 BEDFORD RD, LOWELLVILLE, OH 44436-9753
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16979-NP
OH
363L00000X
Nurse Practitioner
4704372859
MI
363LF0000X
Family Nurse Practitioner
COA.16979-NP
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
16979-NP
OH
363LP2300X
Primary Care Nurse Practitioner
4704372859
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16979-NP
OHIO LICENSE COA.
OH
Enumeration date
02/04/2015
Last updated
04/29/2021
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