Individual
KAYLA CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
533 LAKENGREN DR, EATON, OH 45320-2673
(765) 960-5723
Mailing address
533 LAKENGREN DR, EATON, OH 45320-2673
(765) 960-5723
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346827
—
OH
Enumeration date
01/26/2022
Last updated
01/26/2022
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