Organization
KELLY CONLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY LEE CONLEY LPN (LICENSED PRACTICAL NURSE)
(740) 250-4235
Entity
Organization
Contact information
Practice address
46 ANDREA DR, WHEELERSBURG, OH 45694-8789
(740) 250-4235
(740) 250-4235
Mailing address
46 ANDREA DR, WHEELERSBURG, OH 45694-8789
(740) 250-4235
(740) 250-4235
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
123463
OH
251J00000X
Nursing Care Agency
Primary
123463
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7402504235
—
OH
Enumeration date
12/30/2010
Last updated
12/30/2010
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