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Contact Information

KATHLEEN KELLY, PA-C
9000 N MAIN ST STE 232
ENGLEWOOD, OH45415
 Phone: 937-277-8988
 Fax: 937-277-9035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHLEEN KELLY · (Female)

NPI # 1508315391
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/22/2016
Last updated 01/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 50.004784RX
  • OH Medicaid 0186637
Hospital affiliation(s)
  • ATRIUM MEDICAL CENTER - (Acute Care)
    ONE MEDICAL CENTER DRIVE
    FRANKLIN, OH 45005
  • MIAMI VALLEY HOSPITAL - (Acute Care)
    ONE WYOMING STREET
    DAYTON, OH 45409
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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