Individual
RACHEL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2210 S RIDGE RD E, ASHTABULA, OH 44004-4459
(513) 834-7063
(513) 873-1567
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1459
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.341247
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.13394
OH
363LA2200X
Adult Health Nurse Practitioner
13394
OH
Other
Enumeration date
03/20/2019
Last updated
07/08/2020
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