Kehrt, Tiffanie R

Kehrt, Tiffanie R is an individual health care provider with primary practice located at 2960 Mack Rd Ste 200 , Fairfield OH 45014-5300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kehrt, Tiffanie R can be contacted via phone (513) 774-2870.

Contact Information

Primary practice address
2960 Mack Rd Ste 200 Fairfield OH 45014-5300
Phone: (513) 774-2870
Fax: (513) 774-2633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP09948 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 09948 Ohio

Profile Details

NPI number 1205000262
LBN Legal business name Kehrt, Tiffanie R
Credentials MSN, RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2008
Last updated Dec 8th, 2020 - about 4 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 1205000262 NPPES
Ohio MEDICAID 3007310

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