Individual
KEELIA NICOLE HOUSEHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
336658
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336658
OHIO BOARD OF NURSING
OH
Enumeration date
04/25/2022
Last updated
04/25/2022
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