Braden, Kelly Lynn
Braden, Kelly Lynn is an individual health care provider with primary practice located at 2751 Bay Park Drive #300 , Oregon OH 43616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Braden, Kelly Lynn can be contacted via phone (419) 690-7596.Contact Information
Primary practice address
2751 Bay Park Drive #300
Oregon OH 43616
Phone: (419) 690-7596
Fax: (419) 697-6707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-09492 | Ohio |
Profile Details
| NPI number | 1326230475 |
|---|---|
| LBN Legal business name | Braden, Kelly Lynn |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Nov 3rd, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326230475 | NPPES |
| Other | 48351 | HEALTH PLAN OF MICHIGAN | |
| Other | 000000557727 | HEALTH PLAN OF MICHIGAN |
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