Healthcare Provider Details

I. General information

NPI: 1568392421
Provider Name (Legal Business Name): KELSIE NEAL APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SEVERANCE CIR
CLEVELAND HEIGHTS OH
44118-1533
US

IV. Provider business mailing address

10 SEVERANCE CIR
CLEVELAND HEIGHTS OH
44118-1533
US

V. Phone/Fax

Practice location:
  • Phone: 216-524-7377
  • Fax:
Mailing address:
  • Phone: 216-398-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM10902
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: