Provider Demographics
NPI:1831462183
Name:KEHR, JANNY LYNN (CNP)
Entity type:Individual
Prefix:
First Name:JANNY
Middle Name:LYNN
Last Name:KEHR
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:JANNY
Other - Middle Name:LYNN
Other - Last Name:HUTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4441 FAR HILLS AVE
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-2405
Mailing Address - Country:US
Mailing Address - Phone:927-490-2090
Mailing Address - Fax:
Practice Address - Street 1:4441 FAR HILLS AVE
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-2405
Practice Address - Country:US
Practice Address - Phone:927-490-2090
Practice Address - Fax:937-490-2780
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.16512363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0121216Medicaid