KELLY SHANE

COLUMBUS, OH
NPI1689105132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: OH  S.2308935)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-27
Last Update Date2026-05-06
Business Address
KELLY SHANE
6435 E BROAD ST
COLUMBUS, OH 43213-1507
Phone number: 614-355-8160
Mailing Address
KELLY SHANE
700 CHILDRENS DR
COLUMBUS, OH 43205-2664
Phone number: 614-722-2000