KELLY AMBROSIUS CST,CFA,RSA
NPI 1932322815
Physician Assistant - Surgical in Wadsworth, IL

Q: What is Kelly Ambrosius's NPI number?

The NPI number for Kelly Ambrosius is 1932322815. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Kelly Ambrosius's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Ambrosius was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2007

39067 N CAROLINE AVE, #362, WADSWORTH, IL 60083(800) 560-8374(800) 560-8374 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Ambrosius Cst,cfa,rsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY AMBROSIUS CST,CFA,RSA (NPI 1932322815) is an individual surgical provider in Wadsworth, Illinois, licensed in Illinois (238.00009) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1932322815

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameKELLY AMBROSIUSCredential: CST,CFA,RSA

Location Address39067 N CAROLINE AVE, #362Wadsworth, IL 60083-7728

Mailing AddressPo Box 362Wadsworth, IL 60083-0362 · Fax (800) 560-8374

Phone(800) 560-8374

Fax(800) 560-8374

Sole ProprietorNo

Enumeration DateApril 10, 2007

Last NPPES UpdateApril 1, 2015

✔ NPI 1932322815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 238.00009

39067 N CAROLINE AVE, Wadsworth, IL 60083

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Other Identifiers 1

Other61-1409473IL · Fein

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Ambrosius's NPI number?

The NPI number for Kelly Ambrosius is 1932322815. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Kelly Ambrosius located?

Kelly Ambrosius practices at 39067 N Caroline Ave #362, Wadsworth, IL 60083. The listed phone number is (800) 560-8374.

What is Kelly Ambrosius's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kelly Ambrosius was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.