Individual
AMY CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147-8235
(614) 726-7359
Mailing address
104000 BLACKLICK EASTERN ROAD, PICKERINGTON, OH 43147
(614) 726-7359
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010684796
—
OH
Enumeration date
08/04/2021
Last updated
03/03/2026
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