Individual
ANNETTE BAKIE KALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3880 WHITE POND DR APT 102, COLUMBUS, OH 43219-3993
(803) 440-7422
Mailing address
3880 WHITE POND DR APT 102, COLUMBUS, OH 43219-3993
(803) 440-7422
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
SU625686
OH
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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