Individual
KELLIE WILHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HIGHVIEW BLVD, COLUMBUS, OH 43207-6023
(614) 826-9995
Mailing address
100 HIGHVIEW BLVD, COLUMBUS, OH 43207-6023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN335994
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346802675
—
OH
Enumeration date
07/08/2019
Last updated
09/17/2019
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