Provider Demographics
NPI:1932515244
Name:GRIFFITH, KELLY IRENE (BSN, RN, MSN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:IRENE
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:BSN, RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11643 SOLZMAN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1232
Mailing Address - Country:US
Mailing Address - Phone:513-530-2094
Mailing Address - Fax:
Practice Address - Street 1:11643 SOLZMAN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1232
Practice Address - Country:US
Practice Address - Phone:513-530-2094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.357846-COA1163W00000X
OHCOA.16165-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse