Alissa R Keysor, LPN
Licensed Practical Nurse in Mansfield, OH. Individual provider (NPI-1).
NPI number1164041125
StatusActive
Last updated in NPPESApr 10, 2020
Details
- NPI
- 1164041125
- Entity type
- Individual (NPI-1)
- Name
- Alissa R Keysor
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2020
- Certification date
- Apr 10, 2020
- Last updated
- Apr 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 164075 | OH | Yes |
Practice location
475 Lexington AveMansfield, OH 44907-1501
Phone 419-419-5705
Mailing address
417 Plymouth St Apt APlymouth, OH 44865-1027
Phone 419-515-9873
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