HOLLY RAE KELLIS

SPRINGFIELD, OH
NPI1891937587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN113181)
Enumeration Date2009-03-27
Last Update Date2009-03-27
Business Address
-- HOLLY RAE KELLIS LPN
1414 GROVER ST
SPRINGFIELD, OH 45505-3925
Phone number: 937-206-1897
Mailing Address
-- HOLLY RAE KELLIS LPN
1414 GROVER ST
SPRINGFIELD, OH 45505-3925
Phone number: 937-206-1897