Individual
MS. HELEN MARIE KISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
249 KENNEDY DR, MEDWAY, OH 45341-1503
(937) 849-0381
Mailing address
249 KENNEDY DR, MEDWAY, OH 45341-1503
(937) 849-0381
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN088689
OH
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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