Individual
DR. KELLI ROSE EHEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026558
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/15/2021
Last updated
06/29/2021
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