Individual
MRS. KRISTEN MICHELLE ICKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3265 US HIGHWAY 20 W, LINDSEY, OH 43442-9712
(567) 201-5573
Mailing address
2708 COUNTY ROAD 62, GIBSONBURG, OH 43431-9579
(567) 201-5573
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/18/2021
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