Individual
KATHY JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 WILLOWCREST LN, GALION, OH 44833-3168
(419) 961-6063
Mailing address
631 WILLOWCREST LN, GALION, OH 44833-3168
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74209690
OHIOID
OH
Enumeration date
03/21/2023
Last updated
03/21/2023
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