Provider Demographics
NPI:1154149151
Name:GEIS, KELLY JILL (BS ED, CD(DONA), CLS)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:JILL
Last Name:GEIS
Suffix:
Gender:F
Credentials:BS ED, CD(DONA), CLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5661 VILLAS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2454
Mailing Address - Country:US
Mailing Address - Phone:513-218-4658
Mailing Address - Fax:
Practice Address - Street 1:5661 VILLAS CREEK DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-2454
Practice Address - Country:US
Practice Address - Phone:513-218-4658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula