Individual
KELLY ANNE TOKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17236 SYCAMORE RD, GRAND RAPIDS, OH 43522-9471
(419) 410-7700
Mailing address
17236 SYCAMORE RD, GRAND RAPIDS, OH 43522-9471
(419) 410-7700
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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