Kirk, Kelly Ann

Kirk, Kelly Ann is an individual health care provider with primary practice located at 234 Goodman St , Cincinnati OH 45219-2364. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Kirk, Kelly Ann can be contacted via phone (513) 475-8282.

Contact Information

Primary practice address
234 Goodman St Cincinnati OH 45219-2364
Phone: (513) 475-8282
Fax: (513) 458-1986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN.359897 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X COA17712-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CNP17712 Ohio

Profile Details

NPI number 1255713400
LBN Legal business name Kirk, Kelly Ann
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2015
Last updated Dec 13th, 2018 - about 8 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 1255713400 NPPES
Ohio MEDICAID 0138175

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