Individual
KENZIE STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MCGIBNEY RD APT C3, MOUNT VERNON, OH 43050-1227
(234) 301-7486
Mailing address
100 MCGIBNEY RD APT C3, MOUNT VERNON, OH 43050-1227
(234) 301-7486
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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