Individual
MS. KELLY JO KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
354 CLAY ST, CHILLICOTHE, OH 45601-3460
(740) 701-8558
Mailing address
354 CLAY ST, CHILLICOTHE, OH 45601-3460
(740) 701-8558
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401083400510
OH
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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