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NPI Code Detail

MEDICARE: KELLY M CASLER FNP

MEDICARE:   KELLY M CASLER  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2001017746MO
2363LF0000XFamily Nurse PractitionerAPRN.CNP.021578OH

Other Identifiers

General Provider Information

NPI Number : 1588611859
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY M CASLER FNP
Provider Business Mailing Address
First Line : 1401 STEFFEN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-2338
Country : US
Telephone Number : 513-554-4100
Fax Number : 513-554-1102
Provider Business Practice Location Address
First Line : 1401 STEFFEN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-2338
Country : US
Telephone Number : 513-554-4100
Fax Number : 513-554-1102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 05/20/2022

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Directions to “ KELLY M CASLER FNP” Practice Location

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