Individual
KELLY NICOLE DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
380 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-7508
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 722-4565
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.12916
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.12916
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063503
—
OH
01
—
H193670
CGS MEDICARE
OH
Enumeration date
02/13/2012
Last updated
12/12/2024
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