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Contact Information

JENNIFER J KELLY, RN, CNP
3333 BURNET AVE
ML 5006 DIABETES CLINIC
CINCINNATI, OH45229
 Phone: 513-636-9079
 Fax: 513-636-7576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JENNIFER J KELLY · (Female)

NPI # 1063460558
Status Active
Credentials RN, CNP
Entity Individual
Enumeration date 05/05/2006
Last updated 09/30/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OH License # COA.08014-NP
  • OH Medicaid 2656951
Hospital affiliation(s) Not Available
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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