| Doctor Name: | KELLY L NAGEL |
| NPI Number: | 1003927138 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 07533 |
| Business Practice Address: | 505 Corporate Center Dr Vandalia, OH - 453771167 |
| Business Phone Number: | 9378982097 |
| Business Fax Number: | |
| Mailing Address: | 505 Corporate Center Dr, VANDALIA |
| State: | OH |
| Postal Code: | 453771167 |
| Phone Number: | 9378982097 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 08/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 07533 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |