Individual
LAURA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3333 BURNET AVE # MLC7037, CINCINNATI, OH 45229-3026
(513) 803-3828
Mailing address
3333 BURNET AVE # MLC7037, CINCINNATI, OH 45229-3026
(513) 803-3828
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006599A
IN
363LF0000X
Family Nurse Practitioner
71006599A
IN
Other
Enumeration date
10/04/2016
Last updated
12/13/2022
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