Healthcare Provider Details

I. General information

NPI: 1427913730
Provider Name (Legal Business Name): KELEI CHATMAN PMHNP - BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 W BROAD ST # 200
COLUMBUS OH
43222-1465
US

IV. Provider business mailing address

975 FAIRWOOD AVE
COLUMBUS OH
43206-1813
US

V. Phone/Fax

Practice location:
  • Phone: 614-717-0822
  • Fax:
Mailing address:
  • Phone: 614-371-0503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0040811
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: