Individual
KELLY MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 803-0460
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 803-0460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0028647
OH
Other
Enumeration date
02/22/2022
Last updated
08/09/2022
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