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Individual

KELLY LYNN WYCINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
975 BETHESDA DR, SUITE 1, ZANESVILLE, OH 43701-7500
(740) 454-6808
(740) 454-2236
Mailing address
975 BETHESDA DR STE 1, ZANESVILLE, OH 43701-7500
(740) 454-6808
(740) 454-2236

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.06287
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2366514
OH
Enumeration date
12/07/2005
Last updated
04/08/2026
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