Individual
MRS. KELLY ANNE SPICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
745 CHURCHSIDE CHASE DR, BLACKLICK, OH 43004-8079
(614) 501-6438
Mailing address
745 CHURCHSIDE CHASE DR, BLACKLICK, OH 43004-8079
(614) 501-6438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.354484-
OH
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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