Individual provider · Type 1 NPI

Kelly Christine Wortkoetter, DSP

Driver · Galloway, OH

NPI number 1851252035 Active

Practice location

9 Amber Moor Dr Unit 103
Galloway, OH 43119-3506

Mailing address

5006 Dierker Rd Apt B5
Columbus, OH 43220-5224

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XRN876190 (OH)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1851252035

Kelly Christine Wortkoetter, DSP's National Provider Identifier is 1851252035, issued on Nov 18, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Galloway, OH. The record was last updated on Nov 18, 2025.