Individual
KENNETH LANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 CREIGHTON CT, GAHANNA, OH 43230-1609
(740) 644-2614
Mailing address
224 CREIGHTON CT, GAHANNA, OH 43230-1609
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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