Healthcare Provider Details

I. General information

NPI: 1306457858
Provider Name (Legal Business Name): KELSEY L JONES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 EASTGATE BLVD STE 500
CINCINNATI OH
45245-1256
US

IV. Provider business mailing address

4530 EASTGATE BLVD STE 500
CINCINNATI OH
45245-1256
US

V. Phone/Fax

Practice location:
  • Phone: 513-943-6340
  • Fax:
Mailing address:
  • Phone: 513-943-6340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number016463
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03232787
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: