Individual
MS. KELLY GANSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM ARNP
Contact information
Practice address
7370 TURFWAY RD, FLORENCE, KY 41042-4895
(859) 212-5125
(859) 212-5099
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-5125
(859) 212-5099
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
3006738
KY
367A00000X
Advanced Practice Midwife
6738M
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3135735
—
OH
05
—
7100148620
—
KY
Enumeration date
12/01/2010
Last updated
09/07/2022
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