Individual
MRS. KELLY SUE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
294 WINNOW CT, SUNBURY, OH 43074-8546
(740) 602-4950
(740) 936-5137
Mailing address
294 WINNOW CT, SUNBURY, OH 43074-8546
(740) 602-4950
(740) 936-5137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN211707
OH
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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