Kelly J Kanzeg

NPI #1265627889 in Sullivan, Ohio

Provider Information

NPI Number
1265627889
Entity Type
Individual
Name
Kelly J Kanzeg
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Sep 6, 2007
Last Updated
Sep 6, 2007

Practice Location

Address
319 TOWNSHIP ROAD 581
State
Ohio
ZIP Code
44880-9767
Phone
(330) 421-6844

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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