Individual
ELLEN TYE-KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARE PROVIDER
Contact information
Practice address
239 MAR RIC LN, CINCINNATI, OH 45215-1314
(513) 608-0595
(513) 782-0595
Mailing address
239 MAR RIC LN, CINCINNATI, OH 45215-1314
(513) 608-0595
(513) 782-0595
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120312
—
OH
Enumeration date
09/10/2020
Last updated
09/10/2020
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