Individual
KELLY D BRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
159 CROCKER PARK BLVD STE 400, WESTLAKE, OH 44145-8147
(440) 864-2802
(440) 287-6137
Mailing address
159 CROCKER PARK BLVD STE 400, WESTLAKE, OH 44145-8147
(440) 864-2802
(440) 287-6137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.384208
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0031831
OH
Other
Enumeration date
07/28/2021
Last updated
02/22/2024
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