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NPI Code Detail

MEDICARE: ALEX P. KEGELMEYER APRN.CNP

MEDICARE:   ALEX P. KEGELMEYER  APRN.CNP
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
1363LA2100XAcute Care Nurse PractitionerAPRN.CNP.025097OH
2363L00000XNurse PractitionerAPRN.CNP.025097OH
3163W00000XRegistered NurseRN.414639OH

General Provider Information

NPI Number : 1427613959
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX P. KEGELMEYER APRN.CNP
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-8315
Fax Number : 614-293-6935
Provider Business Practice Location Address
First Line : 410 W 10TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1240
Country : US
Telephone Number : 614-293-8315
Fax Number : 614-293-6935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2019
Last Update Date : 06/15/2026

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