Individual
ELIZABETH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1392 SUMMIT ST, APT C, COLUMBUS, OH 43201-2559
(614) 517-9233
Mailing address
1392 SUMMIT ST, APT C, COLUMBUS, OH 43201-2559
(614) 517-9233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN418305
OH
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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