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Individual

KELLY LAFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
59053 MOUNT OLIVE RD, MC ARTHUR, OH 45651-8848

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN219657
OH

Other

Enumeration date
07/25/2022
Last updated
07/25/2022
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