Individual
KELLY N. MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3533 SOUTHERN BLVD STE 2100, KETTERING, OH 45429-1267
(937) 395-8556
(937) 395-6376
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0029731
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0029731
OH
Other
Enumeration date
04/27/2021
Last updated
04/07/2026
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