Individual
KELSIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 CLARK ST, TOLEDO, OH 43605-2262
(567) 868-3424
Mailing address
607 CLARK ST, TOLEDO, OH 43605-2262
(567) 868-3424
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401119420710
OH
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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