Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 2351P | KY |
N | 363LA2200X | Nurse Practitioner - Adult Health | 2351P | KY |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 0925 | OH |
NPI | 1003826991 |
---|---|
Provider Name | Kelly Michelle Parsons |
First Address | Cincinnati, OH 45239-6600 |
Second Address | Cincinnati, OH 45239-6600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 15/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2924072 | (05) | OH |
78003134 | (05) | KY |
S44115 | (02) |