Individual
KELLY ELLYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9213 ELLYSON RD, EAST ROCHESTER, OH 44625-9763
(330) 341-9238
Mailing address
9213 ELLYSON RD, EAST ROCHESTER, OH 44625-9763
(330) 341-9238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN309388
OH
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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