Individual
DR. KELLY D RISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 EATON AVE STE 200, HAMILTON, OH 45013-2716
(513) 867-1200
(513) 867-1266
Mailing address
3035 HAMILTON MASON RD, SUITE 201, HAMILTON, OH 45011-5544
(513) 894-4121
(513) 894-4120
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35092524
OH
207V00000X
Obstetrics & Gynecology Physician
MD00040957
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2932992
—
OH
01
—
7935355
AETNA
OH
05
—
8311441
—
WA
Enumeration date
08/21/2006
Last updated
12/17/2020
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