Kelley, Mary C

Kelley, Mary C is an sole proprietor health care provider with primary practice located at 6333 Troy Sidney Rd , Piqua OH 45356-9213. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Kelley, Mary C can be contacted via phone (937) 778-3421.

Contact Information

Primary practice address
6333 Troy Sidney Rd Piqua OH 45356-9213
Phone: (937) 778-3421
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN266014 Ohio

Profile Details

NPI number 1740489285
LBN Legal business name Kelley, Mary C
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2007
Last updated Jul 14th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740489285 NPPES
Ohio MEDICAID MEDICAID

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