Individual
SHANE KOLODZIEJSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMA
Contact information
Practice address
1049 WESTERN AVE, CHILLICOTHE, OH 45601-1104
(740) 773-4366
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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