Individual
MS. KELLIE L DEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1171 PIONEER PASS, NORWALK, OH 44857-8928
(419) 706-4150
Mailing address
1171 PIONEER PASS, NORWALK, OH 44857-8928
(419) 706-4150
(419) 964-5480
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
LE-00027692
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
09618
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2810980
—
OH
01
—
481161444
TAX ID
OH
Enumeration date
09/19/2007
Last updated
06/27/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us