Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | COA14733NP | OH |
NPI | 1023454469 |
---|---|
Provider Name | Kathryn E Shelley |
First Address | Dublin, OH 43016-4141 |
Second Address | Columbus, OH 43214-3908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 25/01/2022 |