Individual
ASHLEY KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 LYNN ST, SIDNEY, OH 45365-2962
(937) 441-0295
Mailing address
824 LYNN ST, SIDNEY, OH 45365-2962
(937) 441-0295
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7501646
—
OH
Enumeration date
01/13/2021
Last updated
01/13/2021
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