Kelly Newell, RDH/CHE
Individual provider Active NPI Health Educator · Wellston, OH
NPI 1154728905 · NPPES record last updated Nov 21, 2014
Key facts
- NPI
- 1154728905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- License
- 31007212 (OH)
- Practice address
- 519 Cheatwood Rd
Wellston, OH 45692 - Phone
- (740) 384-0624
- NPI assigned
- Nov 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31007212 | OH | MD | Health Educator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 31007212 | OH | Yes |
Addresses
Primary practice location
519 Cheatwood Rd
Wellston, OH 45692
Mailing address
519 Cheatwood Rd
Wellston, OH 45692
Phone (740) 384-0624
Other providers in Wellston, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.