Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelli Harmon

Individual provider Physician Assistant · NPI 1609489004

Kelli Harmon is a Physician Assistant in Blue Ash, Ohio. Qualified in 2020, 6 years ago. Practices with Tri State Urologic Services PSC Inc, a 74-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020

Practice location Address checks out

10220 Alliance Rd
Blue Ash, OH 45242-4710
Phone: (513) 841-7800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006453RX (OH)

Record details

NPI number1609489004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020
Mailing address5855 Sovereign Dr, Cincinnati, OH 45241-6080

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tri State Urologic Services Psc Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Blue Ash