Mixell, Kelby Elizabeth

Mixell, Kelby Elizabeth is an individual health care provider with primary practice located at 30 E Apple Street Suite 3300, Dayton OH 45409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mixell, Kelby Elizabeth can be contacted via phone (937) 208-8394.

Contact Information

Primary practice address
30 E Apple Street Suite 3300 Dayton OH 45409
Phone: (937) 208-8394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.004469 Ohio

Profile Details

NPI number 1205205358
LBN Legal business name Mixell, Kelby Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2015
Last updated Mar 29th, 2024 - about 2 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 1205205358 NPPES
Ohio Other 1125596 NATIONAL CERTIFICATION OF PHYSICIAN ASSISTANT
Ohio Other 50.004469 NATIONAL CERTIFICATION OF PHYSICIAN ASSISTANT
Ohio MEDICAID 0144502 NATIONAL CERTIFICATION OF PHYSICIAN ASSISTANT

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