Organization
KELLY JO HALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JO HALL (MEMBER)
(937) 707-7263
Entity
Organization
Contact information
Practice address
98 W STATE ST, MILFORD CENTER, OH 43045-9008
(937) 707-7263
Mailing address
98 W STATE ST, MILFORD CENTER, OH 43045-9008
(937) 707-7263
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RG498703
OH
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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