Individual
KAREN JEAN BERTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 MARY LN, CELINA, OH 45822-9796
(843) 222-4465
Mailing address
1540 MARY LN, CELINA, OH 45822-9796
(843) 222-4465
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0355891
OH
376J00000X
Homemaker
0355891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355891
—
OH
Enumeration date
12/03/2020
Last updated
12/03/2020
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