Individual
MRS. KELLI LYNN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5949 STILLSON PL, BOARDMAN, OH 44512-2929
(330) 881-8630
Mailing address
5949 STILLSON PL, BOARDMAN, OH 44512-2929
(330) 881-8630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
335313
OH
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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