| NPI | 1649782095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON NICOLE KELCH RN Fa 614-325-4876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2019-08-14 |