Healthcare Provider Details

I. General information

NPI: 1679410385
Provider Name (Legal Business Name): KELSEY NASO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 OLENTANGY RIVER RD # A
COLUMBUS OH
43235-1362
US

IV. Provider business mailing address

7600 OLENTANGY RIVER RD # A
COLUMBUS OH
43235-1362
US

V. Phone/Fax

Practice location:
  • Phone: 614-436-0316
  • Fax:
Mailing address:
  • Phone: 614-436-0316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028445
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: