Healthcare Provider Details

I. General information

NPI: 1386569341
Provider Name (Legal Business Name): KELSEY LESNIAK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 RIDGE RD
PARMA OH
44129-3169
US

IV. Provider business mailing address

5850 RIDGE RD
PARMA OH
44129-3169
US

V. Phone/Fax

Practice location:
  • Phone: 440-292-3046
  • Fax:
Mailing address:
  • Phone: 440-292-3046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0043047
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: