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NPI Code Detail

MEDICARE: KELLY GENENE ROUTHIER NP-C

MEDICARE: KELLY GENENE ROUTHIER NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRNCNP18674OH

General Provider Information

NPI Number : 1336506013
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY GENENE ROUTHIER NP-C
Provider Business Mailing Address
First Line : 329 N WEST ST
Second Line :
City : LIMA
State : OH
Zip : 45801-4331
Country : US
Telephone Number : 419-221-3072
Fax Number :
Provider Business Practice Location Address
First Line : 228 S MAIN ST
Second Line :
City : BRYAN
State : OH
Zip : 43506-1755
Country : US
Telephone Number : 567-239-4562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2016
Last Update Date : 02/02/2024

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Directions to “ KELLY GENENE ROUTHIER NP-C” Practice Location

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