Individual
KELLEY CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3308 MARPAT LN, BRUNSWICK, OH 44212-5901
(216) 280-4355
Mailing address
3308 MARPAT LN, BRUNSWICK, OH 44212-5901
(216) 280-4355
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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