Individual
KELLY KAY NUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1154 N COURT ST, CIRCLEVILLE, OH 43113-1304
(740) 497-4764
Mailing address
1154 N COURT ST, CIRCLEVILLE, OH 43113-1304
(740) 497-4764
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-374712
OH
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/01/2025
Last updated
04/16/2025
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