Kelly South

NPI #1205203270 in Kettering, Ohio

Provider Information

NPI Number
1205203270
Entity Type
Individual
Name
Kelly South
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 26, 2015
Last Updated
May 6, 2020

Practice Location

Address
3535 SOUTHERN BLVD
State
Ohio
ZIP Code
45429-1221
Phone
(937) 395-8166

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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