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Individual

KELLI D KULP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
111 S GRANT AVE, 3RD FLOOR, COLUMBUS, OH 43215-4701
(614) 566-9871
(614) 566-9503
Mailing address
5450 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4134

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14589NA
OH

Other

Enumeration date
03/22/2013
Last updated
07/11/2013
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