Individual
KELLY RYAN KACHORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7502 STATE RD STE 2210A, CINCINNATI, OH 45255-2596
(513) 624-2070
Mailing address
7502 STATE RD STE 2210A, CINCINNATI, OH 45255-2596
(513) 624-2070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
263651
OH
363LA2100X
Acute Care Nurse Practitioner
0030254
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP.0030254
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462231
—
OH
05
—
2565399
—
OH
Enumeration date
11/16/2021
Last updated
05/01/2023
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