Braden, Kelly Lynn

Braden, Kelly Lynn is an individual health care provider with primary practice located at 2751 Bay Park Drive #300 , Oregon OH 43616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Braden, Kelly Lynn can be contacted via phone (419) 690-7596.

Contact Information

Primary practice address
2751 Bay Park Drive #300 Oregon OH 43616
Fax: (419) 697-6707
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-09492 Ohio

Profile Details

NPI number 1326230475
LBN Legal business name Braden, Kelly Lynn
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Nov 3rd, 2023 - about 2 years ago

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 1326230475 NPPES
Other 48351 HEALTH PLAN OF MICHIGAN
Other 000000557727 HEALTH PLAN OF MICHIGAN

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