Individual
KELLY KATHERINE KISS-JAGODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16915 OLD STATE RD, MIDDLEFIELD, OH 44062-9141
(440) 532-9143
Mailing address
16915 OLD STATE RD, MIDDLEFIELD, OH 44062-9141
(440) 532-9143
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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