Individual
KESHIA NICOLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA/L
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
(740) 772-7144
Mailing address
44 GETTYSBURG DR, CHILLICOTHE, OH 45601-7826
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
4722
OH
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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