Individual
ROBERTA JEAN KIRTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5266 STATE ROUTE 38 NW, LONDON, OH 43140-9534
(740) 708-0665
Mailing address
5266 STATE ROUTE 38 NW, LONDON, OH 43140-9534
(740) 708-0665
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096463
—
OH
Enumeration date
10/14/2020
Last updated
10/14/2020
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