KELLY K DEBROSSE


Address: 1108 Vester Ave, Springfield, OH 45503-1302
Phone: 9372476305

KELLY K DEBROSSE (NPI# 1073070421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073070421
Entity Type Individual
Full Name KELLY K DEBROSSE
Credential APRN-CNP
Practice Address 1108 Vester Ave
Springfield
OH 45503-1302
Practice Telephone 9372476305
Mailing Telephone 9373997100
Mailing Fax Number 9373997355
Enumeration Date 2019-02-21
Last Update Date 2020-06-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
APRN.CNP.024319 OH Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
651 S Limestone St, Springfield, OH 455051965 9373287260 9373287258

Office Location

Street Address 1108 VESTER AVE
City SPRINGFIELD
State OH
Zip Code 45503-1302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568469914 Richard Gregory Mcneely Obstetrics & Gynecology 1108 Vester Ave, Springfield, OH 45503-1302 2005-06-30
1356741664 Jennifer L Rust Nurse Practitioner 1108 Vester Ave, Springfield, OH 45503-1302 2014-08-25
1881873685 Richard G Mcneely Do LLC Obstetrics & Gynecology 1108 Vester Ave, Springfield, OH 45503 2007-10-29
1255545141 Christy Campbell Smalley Obstetrics & Gynecology 1108 Vester Ave, Springfield, OH 45503-1302 2007-05-09
1578660171 Steven T Patterson Do LLC Obstetrics & Gynecology 1108 Vester Ave, Springfield, OH 45503 2006-09-19
1891898276 Ob Gyn Ltd Obstetrics & Gynecology 1108 Vester Ave, Springfield, OH 45503 2006-09-07
1639272016 Steven Todd Patterson Obstetrics & Gynecology 1108 Vester Ave, Springfield, OH 45503 2006-09-07
1548363922 Thomas E Dunaway Md LLC Obstetrics & Gynecology 1108 Vester Ave, Springfield, OH 45503 2006-09-07
1831292218 Shawn S Osterholt Md LLC Obstetrics & Gynecology 1108 Vester Ave, Springfield, OH 45503 2006-09-07
1740383124 Shawn Steven Osterholt Obstetrics & Gynecology 1108 Vester Ave, Springfield, OH 45503-1302 2006-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093182727 Future Plan LLC Dba Home Instead Senior Care In Home Supportive Care 333 Mt Vernon Ave, Springfield, OH 45503 2015-08-28
1740665280 Paulette Thomas Occupational Therapy Assistant 722 Patrick Road, Springfield, OH 45503 2015-07-27
1912391400 Nanditha Alamelu Ranganathan Student in an Organized Health Care Education/Training Program 2655 Ballydoyle Dr., Springfield, OH 45503 2015-03-24
1598102568 Careplus Home Healthcare Registered Nurse 802 N. Limestone St, Spfld, OH 45503 2013-05-30
1407120033 Janice Louise Foster Home Health Aide 3131 Erter Drive, Springfield, OH 45503 2012-02-29
1306123112 David P. Comer Physician Assistant 2600 N Limestone St Fl 2, Springfield, OH 45503 2011-11-08
1689953564 Family Dental Care Dentist 1240 E. Main St, Springfield, OH 45503 2011-08-10
1942539317 Latonia Marie Montgomery Licensed Vocational Nurse 2350 North Limestone #10, Springfield, OH 45503 2009-12-15
1518139385 Springfield Eye Group LLC Optometrist 1674 North Limestone St, Springfield, OH 45503 2008-04-01
1457543951 Kara Nicole Miller Physician Assistant 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 2007-08-17
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356956304 Andrea Marie Sleeth Nurse Practitioner 3329 W Sexton St, Springfield, MO 65810-1080 2020-09-15
1063704815 Robyn Carmody Nurse Practitioner 2308a Memorial Blvd, Springfield, TN 37172-3929 2011-05-12
1164742987 Lekha Sreekumar Nurse Practitioner 884 S Springfield Ave Apt 11, Springfield, NJ 07081-3320 2010-06-03
1427231166 Rosemary Claire Kratovil Nurse Practitioner 39 Mulberry Street, Upper Level, Springfield, MA 01105 2007-12-17
1831113570 Debora G. Barnes Nurse Practitioner 1335 E Independence St Ste B, Springfield, MO 65804-4213 2006-07-26
1437156601 Sharon Kay Giboney Nurse Practitioner 1000 E Primrose St, Suite #270, Springfield, MO 65807-5154 2005-07-03
1518409069 Shayla Crawford Nurse Practitioner 1965 S Fremont Ave Ste 270, Springfield, MO 65804 2016-11-15
1306398409 Kelly Tull Nurse Practitioner 3455 Main St Ste C, Springfield, MA 01107-1187 2016-10-25
1881058436 Michelle Gavala Nurse Practitioner 193 Mountain Ave, Springfield, NJ 07081-1755 2016-04-11
1922468305 Kia Danielle Washington Nurse Practitioner 440 E Tampa St, Springfield, MO 65806-1131 2016-02-29
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Competitor

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City SPRINGFIELD
Zip Code 45503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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