Doctor Name: | MRS. KELLY JO LEHMAN |
NPI Number: | 1457345415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 05792 |
Business Practice Address: | 4879 Us Highway 68 S West Liberty, OH - 433579525 |
Business Phone Number: | 9375991411 |
Business Fax Number: | 9375994128 |
Mailing Address: | 4879 Us Highway 68 S, WEST LIBERTY |
State: | OH |
Postal Code: | 433579525 |
Phone Number: | 9375991411 |
Fax Number: | 9375994128 |
NPI Enumeration Date: | 09/07/2005 |
NPI Last Update Date: | 11/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 05792 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |