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Individual

DR. KELLY ANN ICKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
9122 MONTGOMERY RD STE 214, CINCINNATI, OH 45242-7761
(513) 268-8575
(513) 268-2052
Mailing address
9292 STEEPLECHASE DR, CINCINNATI, OH 45242-4637
(513) 515-7615
(513) 268-2052

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6655
OH

Other

Enumeration date
02/01/2010
Last updated
04/18/2024
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