Individual
KELSEA PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26737 NAWASH DR, PERRYSBURG, OH 43551-5464
(419) 345-2655
Mailing address
502 RIDGE ST, BOWLING GREEN, OH 43402-2522
(567) 376-9565
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
OH
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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