Kelly, Crystal M.

Kelly, Crystal M. is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kelly, Crystal M. can be contacted via phone (614) 293-7499.

Contact Information

Primary practice address
410 W 10Th Ave Columbus OH 43210-1240
Phone: (614) 293-7499
Fax: (614) 366-2360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.124504 Ohio
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 35124504 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.124504 Ohio

Profile Details

NPI number 1679899066
LBN Legal business name Kelly, Crystal M.
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2010
Last updated Feb 22nd, 2019 - about 5 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 1679899066 NPPES
Ohio MEDICAID 0111397

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