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Individual
MARCYLYN KELLY
Active
Individual
MARCYLYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.403535
OH
164W00000X
Licensed Practical Nurse
138733
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098359
—
OH
Enumeration date
07/23/2010
Last updated
01/31/2017
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