Individual
KELLY BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4443
Mailing address
10165 RUSSWILL LN, UNION, KY 41091-9572
(859) 803-5641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0028510
OH
Other
Enumeration date
05/29/2021
Last updated
05/29/2021
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