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Contact Information

KELLY R KACHORIS
7502 STATE RD STE 2210A
CINCINNATI, OH45255-2596
 Phone: 513-624-2070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KELLY R KACHORIS · (Female)

NPI Number 1497411268
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2021
Last updated 05/01/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 0030254
  • OH License # 263651
  • OH License # CNP.0030254
  • OH Medicaid 0462231
  • OH Medicaid 2565399
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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