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

Kelly South

Individual provider Nurse Practitioner · NPI 1205203270

Kelly South is a Nurse Practitioner in Kettering, Ohio. Qualified in 2015, 11 years ago. Practices with Emergency Medicine Specialists Inc, a 111-clinician group, works from 11 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
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Practice location Address checks out

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 395-8166
Fax: (937) 395-8347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 — (937) 702-4500
  • 1997 Miamisburg Centerville Rd, Centerville, OH 45459-3811 — (937) 401-6228
  • 405 W Grand Ave, Dayton, OH 45405-7538 — (937) 723-3211
  • 450 Washington Jackson Rd Ste F, Eaton, OH 45320-8699 — (937) 456-8376
  • 100 Kettering Way, Franklin, OH 45005-1155 — (937) 458-4700
  • 8701 Old Troy Pike, Huber Heights, OH 45424-1066 — (937) 558-3338
  • 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 — (937) 384-8791
  • 6147 State Route 122, Middletown, OH 45005-5201 — (513) 261-3410
  • 600 W Main St, Troy, OH 45373-2928 — (937) 980-7010
  • 1141 N Monroe Dr, Xenia, OH 45385-1619 — (937) 352-2500

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence COA.17881 (OH)

Record details

NPI number1205203270
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2015
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Emergency Medicine Specialists Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kettering