Individual
KELSEY LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1065 DELAWARE AVE STE A, MARION, OH 43302-6461
(614) 568-4646
Mailing address
1388 PHLOX AVE, BLACKLICK, OH 43004-9529
(614) 361-6022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005835RX
OH
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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