Individual
ANDREA L. KAELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0770
Mailing address
3535 SOUTHERN BLVD., KETTERING, OH 45429-1221
(937) 395-8839
(937) 395-8387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101257376
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2012
Last updated
05/02/2018
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