Organization
KELLIE DAVIDSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE DAVIDSON LPN (LPN)
(248) 613-5082
Entity
Organization
Contact information
Practice address
1246 WEBER RD, 1246 WEBER RD, LOVELAND, OH 45140-9490
(248) 613-5082
Mailing address
1246 WEBER RD, 1246 WEBER RD, LOVELAND, OH 45140-9490
(248) 613-5082
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN.154534-M-IV
OH
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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