Individual
KELLY LYNN OKDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1917 CHALICE WAY, TOLEDO, OH 43613-2201
(419) 913-8828
Mailing address
4124 EASTWAY ST, TOLEDO, OH 43612-1711
(419) 913-8828
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
4965631
OH
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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