Individual
KELLIE ELIZABETH BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN- CNP
Contact information
Practice address
460 W 10TH AVE FL 5, COLUMBUS, OH 43210-1240
(614) 293-3196
(614) 293-4812
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3196
(614) 293-4812
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0029672
OH
363LG0600X
Gerontology Nurse Practitioner
30889
SC
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0029672
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.0029672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477126
—
OH
Enumeration date
01/31/2022
Last updated
09/04/2025
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