Gerdeman, Kelsi Nikole

Gerdeman, Kelsi Nikole is an individual health care provider with primary practice located at 662 N Main St , Springboro OH 45066-9553. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gerdeman, Kelsi Nikole can be contacted via phone (937) 641-5066.

Contact Information

Primary practice address
662 N Main St Springboro OH 45066-9553
Phone: (937) 641-5066
Fax: (937) 550-9797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.414404 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0028380 Ohio

Profile Details

NPI number 1023609617
LBN Legal business name Gerdeman, Kelsi Nikole
Credentials FNP-C, ENP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2021
Last updated Oct 10th, 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 1023609617 NPPES
Ohio MEDICAID 0434572

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