Individual
MACKENZIE KELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
857 GENEVA AVE, TOLEDO, OH 43609-3037
(419) 213-9951
Mailing address
857 GENEVA AVE, TOLEDO, OH 43609-3037
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401238720511
OH
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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