Bultman, Kelly
Bultman, Kelly is an sole proprietor health care provider with primary practice located at 2510 Commons Blvd Ste 210 , Beavercreek OH 45431-3821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bultman, Kelly can be contacted via phone (513) 833-4912.Contact Information
Primary practice address
2510 Commons Blvd Ste 210
Beavercreek OH 45431-3821
Phone: (513) 833-4912
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.006573RX | Ohio |
Profile Details
| NPI number | 1104491414 |
|---|---|
| LBN Legal business name | Bultman, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2021 |
| Last updated | Jul 22nd, 2022 - about 3 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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