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Individual

KELLI R. KERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2222 CHERRY ST STE 1800, TOLEDO, OH 43608-2679
(419) 251-4300
(419) 251-7766
Mailing address
2222 CHERRY ST STE 1900, TOLEDO, OH 43608-2673
(419) 251-3878

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
20358
CA
363A00000X
Physician Assistant
Primary
50.009197RX
OH
363A00000X
Physician Assistant
5601009667
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0105236
OH
Enumeration date
01/16/2018
Last updated
04/14/2025
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