Healthcare Provider Details

I. General information

NPI: 1831462183
Provider Name (Legal Business Name): JANNY LYNN KEHR CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANNY LYNN HUTSON NP

II. Dates (important events)

Enumeration Date: 02/17/2012
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 FAR HILLS AVE
KETTERING OH
45429-2405
US

IV. Provider business mailing address

4441 FAR HILLS AVE
KETTERING OH
45429-2405
US

V. Phone/Fax

Practice location:
  • Phone: 927-490-2090
  • Fax: 937-490-2780
Mailing address:
  • Phone: 927-490-2090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.16512
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: