Kelly Sample

NPI #1427646025 in Chardon, Ohio

Provider Information

NPI Number: 1427646025
Entity Type: Individual
Name: Kelly Sample
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Jan 8, 2021
Last Updated: Jan 8, 2021

Practice Location

Address: 12065 NICKI LN
City: Chardon
State: Ohio
ZIP Code: 44024-8941
Phone: (440) 226-0867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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