Healthcare Provider Details

I. General information

NPI: 1427347160
Provider Name (Legal Business Name): KELLI J CAPLINGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 S MAIN ST
FRANKFORT OH
45628-8018
US

IV. Provider business mailing address

PO BOX 143
FRANKFORT OH
45628-0143
US

V. Phone/Fax

Practice location:
  • Phone: 740-656-6658
  • Fax:
Mailing address:
  • Phone: 740-656-6658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number327021
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: