Kelly, Marcylyn

Kelly, Marcylyn is an individual health care provider with primary practice located at 2500 East 22Nd Street , Cleveland OH 44115. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Kelly, Marcylyn can be contacted via phone (216) 931-1300.

Contact Information

Primary practice address
2500 East 22Nd Street Cleveland OH 44115
Phone: (216) 931-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 138733 Ohio
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN.403535 Ohio

Profile Details

NPI number 1952614513
LBN Legal business name Kelly, Marcylyn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2010
Last updated Jan 31st, 2017 - about 7 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 1952614513 NPPES
Ohio MEDICAID 2098359

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