Individual
KELLY JO MONIGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
842 BLAKE AVE SW, NEW PHILADELPHIA, OH 44663-9338
(330) 365-0892
Mailing address
842 BLAKE AVE SW, NEW PHILADELPHIA, OH 44663-9338
(330) 365-0892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-258781
OH
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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