Kelly Jo Hall
Private Vehicle in Milford Center, OH. Organization (NPI-2).
NPI number1205242575
StatusActive
Last updated in NPPESJul 8, 2014
Details
- NPI
- 1205242575
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelly Jo Hall
- Organization subpart
- No
- Enumeration date
- Jul 8, 2014
- Last updated
- Jul 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | RG498703 | OH | Yes |
Practice location
98 W State StMilford Center, OH 43045-9008
Phone 937-707-7263
Mailing address
98 W State StMilford Center, OH 43045-9008
Phone 937-707-7263
Authorized official
Kelly Jo Hall
Member
9377077263
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