Individual
KELLI SCHAAR-EVISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5522 TAYLOR MILL RD, TAYLOR MILL, KY 41015-4604
(859) 491-2855
(859) 655-4395
Mailing address
2300 CHAMBER CENTER DRIVE, SUITE 200, FORT MITCHELL, KY 41017-1673
(859) 344-5555
(859) 655-4395
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1092435
KY
363L00000X
Nurse Practitioner
Primary
3003042
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2498980
—
OH
05
—
78003936
—
KY
Enumeration date
04/28/2006
Last updated
09/26/2014
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