KELLY SOUTH

KETTERING, OH
NPI1205203270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  COA.17881)
Enumeration Date2015-08-26
Last Update Date2020-05-06
Business Address
KELLY SOUTH
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-8166
Mailing Address
KELLY SOUTH
3131 NEWMARK DR STE 220
MIAMISBURG, OH 45342-5400
Phone number: 937-436-4658
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