Amanda Laura Kellis
Private Vehicle • Greenfield, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amanda Kellis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Amanda Kellis was a registered Private Vehicle practicing in Greenfield, OH. Throughout an active medical career spanning 3 years, Amanda Kellis provided care at the practice location at 404 SOUTH ST until profile deactivation on 2023-06-14.
Practice Location & Contact Primary Location
404 South St
Greenfield, OH 451231432
Specialty Benchmarks & Practice Insights
Comparative analytics for Private Vehicle in Greenfield, OH
Practicing in Greenfield, OH (395 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 347C00000X
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 14, 2023
NPI status registered as active in NPPES database
Registered at 404 SOUTH ST, GREENFIELD, OH 451231432 (Tel: 9379814893)
Registered at 404 SOUTH ST, GREENFIELD, OH 451231432 (Tel: 9379814893)
Recorded as AMANDA KELLIS
Private Vehicle
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
404 South St
Greenfield, OH 451231432
Phone: 9379814893
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