Individual
KATRINA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
542 THOMPSON AVE, ASHVILLE, OH 43103-2507
(937) 999-9937
Mailing address
542 THOMPSON AVE, ASHVILLE, OH 43103-2507
(937) 999-9937
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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