Individual
MICHELLE MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1353 CORYDALE DR APT D, FAIRFIELD, OH 45014-3358
(513) 348-5338
Mailing address
1353 CORYDALE DR APT D, FAIRFIELD, OH 45014-3358
(513) 348-5338
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/23/2024
Last updated
05/25/2024
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