Kelley, Gina
Kelley, Gina is an individual health care provider with primary practice located at 15655 State Route 170 Ste H , East Liverpool OH 43920-9672. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelley, Gina can be contacted via phone (330) 932-0183.Contact Information
Primary practice address
15655 State Route 170 Ste H
East Liverpool OH 43920-9672
Phone: (330) 932-0183
Fax: (330) 932-0240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.15388 | Ohio |
Profile Details
| NPI number | 1669801536 |
|---|---|
| LBN Legal business name | Kelley, Gina |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2013 |
| Last updated | Dec 23rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669801536 | NPPES |
| West Virginia | MEDICAID | 3910000958 | |
| West Virginia | MEDICAID | 0094665 |
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