Lookup NPI Numbers from the NPI Registry
NPI Profile for KELLY AMBROSIUS in WADSWORTH, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1932322815 |
|
| Status | Active | |
| Credentials | CST,CFA,RSA | |
| Entity | Individual | |
| Enumeration date | 04/10/2007 | |
| Last updated | 04/01/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY AMBROSIUS
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KELLY AMBROSIUS, CST,CFA,RSA