According to our database, the NPI number for Kelly South is 1205203270 and activated since 8 years ago. Kelly South is an individual provider who specializes in Nurse Practitioner, and the primary practice location is 3535 Southern Blvd, Kettering, OH 45429. You can also contact Kelly South via telephone number is (937) 395-8166. Provider NPI information was last updated on 05/06/2020.

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Overview of Kelly South

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/26/2015
  • Last updated: 05/06/2020

Primary Scrop of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: COA.17881
  • License State: OH

Provider Mailing Address

  • Address: 3131 Newmark Dr Ste 220
    Miamisburg, OH 45342
  • Phone: 937-436-4658
  • Fax: 937-436-4984

Provider Practice Location

  • Address: 3535 Southern Blvd
    Kettering, OH 45429
  • Phone: 937-395-8166
  • Fax: 937-395-8347

Scope of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: COA.17881
  • License State: OH
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0144636
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OH
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelly South?
  • A: The npi number for Kelly South is 1205203270.
  • Q: What are Kelly South's specialties?
  • A: Kelly South's specialties are Nurse Practitioner and different specialities.
  • Q: What is the medical license for Kelly South?
  • A: The medical license number for Kelly South is COA.17881 and issued in OH in USA.
  • Q: Where is Kelly South practice location?
  • A: Kelly South is practicing at 3535 Southern Blvd, Kettering, OH 45429.
  • Q: How to contact Kelly South?
  • A: You can contact Kelly South via 937-395-8166.