Individual
KELLY JEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1381 W OHIO PIKE APT 4F, AMELIA, OH 45102-1348
(513) 331-8080
Mailing address
11 DRAKE DR, AMELIA, OH 45102-2199
(513) 818-5285
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
OH
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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