Siegel, Kelly A

Siegel, Kelly A is an individual health care provider with primary practice located at 9485 Mentor Ave , Mentor OH 44060-1716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Siegel, Kelly A can be contacted via phone (440) 255-5571.

Contact Information

Primary practice address
9485 Mentor Ave Mentor OH 44060-1716
Phone: (440) 255-5571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-04339 Ohio

Profile Details

NPI number 1427075415
LBN Legal business name Siegel, Kelly A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Mar 1st, 2021 - 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 1427075415 NPPES
Ohio MEDICAID 2160683
Ohio Other 000000224469
Ohio Other 000000539712
Ohio Other 740018
Ohio Other 746018
Ohio Other 364120
Ohio Other 7240712

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