Individual
MS. CARY CHRISTINE KELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
973 N BAXTER ST, LIMA, OH 45801-3572
(419) 712-1041
Mailing address
973 N BAXTER ST, LIMA, OH 45801-3572
(419) 712-1041
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
J4SV2NWGZZ
OH
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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