Individual
KAILEIGH HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 PEARL ST, ASHLAND, OH 44805-3920
(419) 651-9451
Mailing address
135 PEARL ST, ASHLAND, OH 44805-3920
(419) 651-9451
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401570370913
OH
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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