Provider Demographics
NPI:1750145645
Name:MURAWSKI, KELLY
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:MURAWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6290 LAKESPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7502
Mailing Address - Country:US
Mailing Address - Phone:513-823-1310
Mailing Address - Fax:
Practice Address - Street 1:6290 LAKESPRINGS DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7502
Practice Address - Country:US
Practice Address - Phone:513-823-1310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH517090163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health