Individual
BRENDA KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 SUMMIT AVE, TROY, OH 45373-3047
(937) 554-7937
Mailing address
PO BOX 984, TROY, OH 45373-0984
(937) 554-7937
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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