Individual
KELSEY MARIAH MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 KETTERING WAY STE 100, FRANKLIN, OH 45005-1155
(937) 746-8357
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2602
SC
363A00000X
Physician Assistant
2883
TN
363A00000X
Physician Assistant
Primary
50.008581RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2736PA
—
SC
Enumeration date
11/03/2015
Last updated
11/19/2024
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