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Individual

MRS. KALLIE RENEE BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3545 LINCOLN WAY E STE B, MASSILLON, OH 44646-8624
(513) 834-7063
(513) 873-1567
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.500310
OH
164W00000X
Licensed Practical Nurse
LPN.142053.MEDS-IV
OH

Other

Enumeration date
05/02/2013
Last updated
12/09/2021
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