Individual
MRS. GILLIAN KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13915 DRURY RD, CENTERBURG, OH 43011-9311
(740) 358-8224
Mailing address
13915 DRURY RD, CENTERBURG, OH 43011-9311
(740) 358-8224
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.153578-M-IV
OH
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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