Individual
JACOLYN LOUISE KELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3010 WAYNE RIDGE RD, ZANESVILLE, OH 43701-8650
(740) 680-1467
Mailing address
3010 WAYNE RIDGE RD, ZANESVILLE, OH 43701-8650
(740) 680-1467
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
188965
OH
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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