Kelly, Ellen Marie

Kelly, Ellen Marie is an individual health care provider with primary practice located at 3373 Commerce Pkwy Ste 2 , Wooster OH 44691-7130. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kelly, Ellen Marie can be contacted via phone (330) 804-9712.

Contact Information

Primary practice address
3373 Commerce Pkwy Ste 2 Wooster OH 44691-7130
Phone: (330) 804-9712
Fax: (330) 804-9811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.005148RX Ohio

Profile Details

NPI number 1558899237
LBN Legal business name Kelly, Ellen Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2017
Last updated Feb 3rd, 2021 - about 3 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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