KELLY RYAN KACHORIS NPI 1497411268

NPI Information

NPI: 1497411268
Provider Name: KELLY RYAN KACHORIS
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
7502 STATE RD STE 2210A
CINCINNATI, OH
ZIP 45255
Phone: (513) 624-2070
Get Directions

Kelly Ryan Kachoris is a gerontology nurse practitioner in Cincinnati, OH with 3 years of experience. Kelly Ryan Kachoris NPI is 1497411268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7502 STATE RD STE 2210A
CINCINNATI, OH
ZIP 45255-596
Phone: (513) 624-2070

The NPI 1497411268 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 5/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		263651	OHIO	No
2	363LA2100X	Nurse Practitioner	Acute Care	0030254	OHIO	No
3	363LG0600X	Nurse Practitioner	Gerontology	CNP.0030254	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0462231	MEDICAID	OHIO
2	2565399	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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