Straley, Kelly Jae

Straley, Kelly Jae is an individual health care provider with primary practice located at 140 Fox Rd , Van Wert OH 45891-2475. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Occupational Health is her primary health care specialty. Straley, Kelly Jae can be contacted via phone (419) 232-5279.

Contact Information

Primary practice address
140 Fox Rd Van Wert OH 45891-2475
Phone: (419) 232-5279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA14689NP Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN.334650 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X COA14689-NP Ohio

Profile Details

NPI number 1386082923
LBN Legal business name Straley, Kelly Jae
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Mar 14th, 2017 - about 9 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 1386082923 NPPES
Ohio MEDICAID 0090042

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