Individual
AIICHA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3977 LOWRY AVE APT 3, CINCINNATI, OH 45229-1334
(513) 884-4509
Mailing address
3977 LOWRY AVE APT 3, CINCINNATI, OH 45229-1334
(513) 884-4509
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
VA729202
OH
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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