NPI Code Details Logo

NPI 1588611859

NPI 1588611859 : KELLY M CASLER FNP : CINCINNATI, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588611859
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KELLY M CASLER FNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/30/2006
-----------------------------------------------------
    Last Update Date     |    05/20/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1401 STEFFEN AVE 
-----------------------------------------------------
    City                 |    CINCINNATI
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45215-2338
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    513-554-4100
-----------------------------------------------------
    Fax                  |    513-554-1102
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1401 STEFFEN AVE 
-----------------------------------------------------
    City                 |    CINCINNATI
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45215-2338
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    513-554-4100
-----------------------------------------------------
    Fax                  |    513-554-1102
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    2001017746
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRN.CNP.021578
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.