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NPI Code Detail

MEDICARE: DAVID C KELCH FNP-C

MEDICARE: DAVID C KELCH FNP-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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0034414OH

General Provider Information

NPI Number : 1881468080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID C KELCH FNP-C
Provider Business Mailing Address
First Line : 12387 PYLE SOUTH AMHERST RD
Second Line :
City : OBERLIN
State : OH
Zip : 44074-9540
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30791 DETROIT RD
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-1835
Country : US
Telephone Number : 440-835-3271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2023
Last Update Date : 11/09/2023

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Directions to “ DAVID C KELCH FNP-C” Practice Location

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