Provider Demographics
NPI:1457345415
Name:LEHMAN, KELLY JO (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:JO
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:KELLY
Other - Middle Name:JO
Other - Last Name:MUHLENKAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:700 CHILDRENS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2664
Mailing Address - Country:US
Mailing Address - Phone:614-722-4176
Mailing Address - Fax:614-355-7686
Practice Address - Street 1:555 S 18TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2654
Practice Address - Country:US
Practice Address - Phone:614-722-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH05792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2187600Medicaid
OH232230KMedicare PIN
OH2187600Medicaid
OHH399361Medicare PIN