Individual
ANGELA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
927 SOUTH ST UNIT A, PATASKALA, OH 43062-6014
(740) 964-3457
Mailing address
927 SOUTH ST UNIT A, PATASKALA, OH 43062-6014
(740) 964-3457
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH1503556
OH
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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