MEDICARE: KELSEY NASO

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
1	122300000X	Dentist	30.028445	OH

General Provider Information

NPI Number	:	1679410385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY NASO

Provider Business Mailing Address
First Line	:	7600 OLENTANGY RIVER RD # A
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1362
Country	:	US
Telephone Number	:	614-436-0316
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 OLENTANGY RIVER RD # A
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1362
Country	:	US
Telephone Number	:	614-436-0316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	05/12/2026

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Directions to “ KELSEY NASO ” Practice Location

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