Jack Kegley, PC

NPI #1639573165 in Mount Gilead, Ohio

Provider Information

NPI Number
1639573165
Entity Type
Individual
Name
Jack Kegley, PC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
PC
Enumeration Date
Oct 13, 2014
Last Updated
Oct 13, 2014

Practice Location

Address
950 MEADOW DR STE A
State
Ohio
ZIP Code
43338-1389
Phone
(419) 947-4560

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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