Individual
JACOB P KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
239 1ST ST, WADSWORTH, OH 44281-2051
(330) 690-3902
Mailing address
239 1ST ST, WADSWORTH, OH 44281-2051
(330) 690-3902
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/10/2024
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