Individual
KELLILYN RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 ARLINGTON AVE STE 2C, TOLEDO, OH 43614-2595
(419) 383-3759
(419) 383-2962
Mailing address
3000 ARLINGTON AVE STOP 1108, TOLEDO, OH 43614-2595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009036RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074398
—
OH
Enumeration date
05/10/2024
Last updated
04/07/2026
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