Pryor, Kellie M

Pryor, Kellie M is an individual health care provider with primary practice located at 2142 N Cove Blvd , Toledo OH 43606-3895. 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. Pryor, Kellie M can be contacted via phone (419) 291-4491.

Contact Information

Primary practice address
2142 N Cove Blvd Toledo OH 43606-3895
Phone: (419) 291-4491
Fax: (419) 479-6905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA13988NP Ohio

Profile Details

NPI number 1477807543
LBN Legal business name Pryor, Kellie M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2012
Last updated Dec 5th, 2014 - about 12 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 1477807543 NPPES
Ohio MEDICAID 0075110

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