Individual
MRS. AMBER JEANINE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7612 STATE ROUTE 7, WILLIAMSFIELD, OH 44093-9769
(330) 787-7777
Mailing address
7612 STATE ROUTE 7, WILLIAMSFIELD, OH 44093-9769
(330) 787-7777
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190711
—
OH
Enumeration date
11/19/2020
Last updated
11/19/2020
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