Individual
JENNIFER WENZ KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
3333 BURNET AVE., INFECTIOUS DISEASES ML 6014, CINCINNATI, OH 45229-3039
(513) 636-4578
(513) 636-4704
Mailing address
3333 BURNET AVE., MEDICAL STAFF SERVICES, ML 5021, CINCINNATI, OH 45229-3039
(513) 636-0356
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA.09530-NP
OH
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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