Provider Demographics
NPI:1659252708
Name:CHEN, KE (APRN-CNP, RN, PHD)
Entity type:Individual
Prefix:
First Name:KE
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:APRN-CNP, RN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1140
Mailing Address - Country:US
Mailing Address - Phone:614-604-8573
Mailing Address - Fax:614-704-5436
Practice Address - Street 1:4000 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1140
Practice Address - Country:US
Practice Address - Phone:614-604-8573
Practice Address - Fax:614-704-5436
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0037624363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily