Individual
ALLISON RUTH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RA
Contact information
Practice address
116 N HIGH ST, MOUNT ORAB, OH 45154-9158
(937) 444-6127
Mailing address
116 N HIGH ST, MOUNT ORAB, OH 45154-9158
(937) 444-6127
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
405300000X
Prevention Professional
RA.161320
OH
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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