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Contact Information

KELLY A CORCORAN, PA-C
5520 CHEVIOT RD
CINCINNATI, OH45247
 Phone: 513-853-1300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELLY A CORCORAN · (Female)

NPI Number 1326391509
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/24/2012
Last updated 07/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MD License # C04907
  • OH License # 50.005109RX
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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