Individual
KELLY JEAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31500 CHIEFTAIN DR, LOGAN, OH 43138-8421
(740) 279-3286
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.306978
OH
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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