Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SOUTH
Active Sole ProprietorNurse Practitioner · KETTERING, OH
Registration Details
- NPI Number
- 1205203270
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2015 (10.666491121724 yrs)
- Last Updated
- May 6, 2020
- License
-
COA.17881 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3535 SOUTHERN BLVDKETTERING, OH, 454291221Browse OH providers · Browse ZIP 45429
- Phone
- 9373958166
- Fax
- 9373958347
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in KETTERING, OH
| Name | Credential | NPI |
|---|---|---|
| EVA L ALLISON | NP | 1437135878 |
| SHARON T SOBECKI | NP | 1225016900 |
| KIMBERLY A SUNSHEIN | NP | 1649258328 |
| MS. NORIKO TSUCHIHASHI BANERJEE | RN, CNP | 1013186808 |
| DORENE (DODIE) L JOHNSON | CNP | 1811245202 |
| MICHAEL SHORE | NP | 1285068940 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.