Individual
AMY MARIE FORNSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 OFFICE PARK DR STE 200, KETTERING, OH 45439-2295
(937) 802-5440
Mailing address
3411 OFFICE PARK DR STE 200, KETTERING, OH 45439-2295
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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