Individual
AMANDA KAY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 DELAWARE AVE UNIT 110, MARION, OH 43302-6475
(740) 736-2033
Mailing address
270 NARROW ST, MARION, OH 43302-3006
(419) 788-3169
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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