Individual
KELSEY NICOLE MUCHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
(513) 475-7505
(513) 475-7355
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 246-1964
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006594RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459280
—
OH
Enumeration date
10/18/2020
Last updated
09/12/2023
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