Individual
CAROLE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5122 LOUNSBURY DR, DAYTON, OH 45417-6043
(937) 397-6811
Mailing address
5122 LOUNSBURY DR, DAYTON, OH 45417-6043
(937) 397-6811
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/07/2020
Last updated
08/22/2022
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