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NPI Code Detail

MEDICARE: KELSEY LECERF MD

MEDICARE: KELSEY LECERF MD
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
12080P0201XPediatric Allergy/Immunology Physician35.139672OH
2208000000XPediatrics Physician35.139672OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H763360OTHEROHCGS - MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588195317
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY LECERF MD
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-2000
Fax Number :
Provider Business Practice Location Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2017
Last Update Date : 06/15/2026

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Directions to “ KELSEY LECERF MD” Practice Location

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