Individual
MRS. GLADYS KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1074 ELDA LN, CINCINNATI, OH 45224-2706
(513) 578-0156
Mailing address
1074 ELDA LN, CINCINNATI, OH 45224-2706
(513) 578-0156
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
161278.MEDS-IV
OH
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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