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Individual

KENNETH BARKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5541 WHITE OAK DR, RAVENNA, OH 44266-9013
(330) 802-1914
Mailing address
5541 WHITE OAK DR, RAVENNA, OH 44266-9013
(330) 802-1914

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
12/07/2020
Last updated
12/07/2020
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