Creviston, Kelly

Creviston, Kelly is an individual health care provider with primary practice located at 970 S Prospect St , Marion OH 43302-6225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Creviston, Kelly can be contacted via phone (740) 383-9293.

Contact Information

Primary practice address
970 S Prospect St Marion OH 43302-6225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.17069-NP Ohio

Profile Details

NPI number 1164817193
LBN Legal business name Creviston, Kelly
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2015
Last updated Apr 6th, 2015 - about 10 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.

Request for update

Popular Providers