Kelly South is a Kettering, Ohio based nurse practitioner with 9 years of experience in . She completed her graduation in 2015. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly South is COA.17881 in Ohio. Her current practice location is 3535 Southern Blvd, Kettering. Patients can reach her at 937-395-8166 or can fax her at 937-395-8347 and her NPI number (Unique professional ID assigned by NPPES) is 1205203270. Kelly South has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly South speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5597075366
Enrollment ID:
I20151106000347
NPI Number:
1205203270
NPI Enumeration Date:
26 Aug, 2015
NPI Last Update On:
06 May, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly South are as mentioned below.
License Number
Specialization
State
Status
COA.17881
Ohio
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(360133)
Dayton, OH
Acute Care Hospital
(360368)
Troy, OH
Acute Care Hospital
(360360)
Beaver creek, OH
Acute Care Hospital
(360079)
Kettering, OH
Acute Care Hospital
(360239)
Miamisburg, OH
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kelly South is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Emergency Medicine Specialists Inc (7315851359)
110
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly South such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0144636
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly South 3131 Newmark Dr Ste 220, Miamisburg, Ohio
Zip:
45342-5400
Phone Number:
937-436-4658
Fax Number:
937-436-4984
Patients can reach Kelly South at 3535 Southern Blvd, Kettering, Ohio or can call to book an appointment on 937-395-8166.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.