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
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0029731
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0029731
OH
Other
Enumeration date
04/27/2021
Last updated
07/08/2026
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