Individual
MRS. AVELINE A KECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15520 RHOADS RD, LOGAN, OH 43138-8898
(740) 380-1987
Mailing address
15520 RHOADS RD, LOGAN, OH 43138-8898
(740) 380-1987
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-091892
OH
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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