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Individual

ERIN K KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
1 WYOMING ST, SUITE 3272, DAYTON, OH 45409-2722
(937) 208-6790
(937) 208-6797
Mailing address
1 WYOMING ST, SUITE 3272, DAYTON, OH 45409-2722
(937) 208-6790
(937) 208-6797

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-08182
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2727820
OH
Enumeration date
10/25/2006
Last updated
08/13/2014
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