Individual
KAILEY ALEXA SKILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
194 S MAIN ST, BOWLING GREEN, OH 43402-2909
(419) 475-4449
Mailing address
194 S MAIN ST, BOWLING GREEN, OH 43402-2909
(419) 475-4449
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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