Berry, Kellie Elizabeth

Berry, Kellie Elizabeth is an individual health care provider with primary practice located at 460 W 10Th Ave Fl 5 , Columbus OH 43210-1240. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Berry, Kellie Elizabeth can be contacted via phone (614) 293-3196.

Contact Information

Primary practice address
460 W 10Th Ave Fl 5 Columbus OH 43210-1240
Phone: (614) 293-3196
Fax: (614) 293-4812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN.CNP.0029672 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN.CNP.0029672 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.0029672 Ohio

Profile Details

NPI number 1790438604
LBN Legal business name Berry, Kellie Elizabeth
Credentials APRN- CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2022
Last updated Jul 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790438604 NPPES
Ohio MEDICAID 0477126

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