Kelly Jo Wallen
NPI #1578225637 in Springfield, Ohio
Provider Information
- NPI Number
- 1578225637
- Entity Type
- Individual
- Name
- Kelly Jo Wallen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 6, 2021
- Last Updated
- Oct 6, 2021
Practice Location
- Address
- 287 E. LEFFEL LANE
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45505
- Phone
- (937) 342-3041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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