Individual
SHAWNTEA ANISE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 EMERALD PKWY STE 100, DUBLIN, OH 43016-6236
(614) 689-3419
Mailing address
6500 EMERALD PKWY STE 100, 100, DUBLIN, OH 43016-6236
(146) 893-4196
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OH
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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