Individual
MELISSA ANN KELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
100 W MCCREIGHT AVE STE 150, SPRINGFIELD, OH 45504-1890
(937) 323-1404
(937) 323-1407
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
(419) 251-2032
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRNCNP021736
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRNCNP021736
OH
Other
Enumeration date
12/07/2017
Last updated
10/10/2024
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