Mayrand, Kelsey

Mayrand, Kelsey is an sole proprietor health care provider with primary practice located at 1244 Meadow Bridge Dr Ste 100 , Beavercreek OH 45434-6388. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mayrand, Kelsey can be contacted via phone (937) 208-7600.

Contact Information

Primary practice address
1244 Meadow Bridge Dr Ste 100 Beavercreek OH 45434-6388
Phone: (937) 208-7600
Fax: (937) 208-7620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.139593 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1740713254
LBN Legal business name Mayrand, Kelsey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2017
Last updated Oct 26th, 2020 - about 6 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 1740713254 NPPES
Ohio MEDICAID 0405964

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