Individual
KELLY GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5954 LONGFORD RD, HUBER HEIGHTS, OH 45424-2943
(937) 237-6300
Mailing address
5954 LONGFORD RD, HUBER HEIGHTS, OH 45424-2943
(937) 237-6300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
217658
OH
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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