Kelly S Ellcessor, LPN | |
512 Baker Ct, Upper Sandusky, OH 43351-9069 | |
(419) 310-0176 | |
Not Available |
Full Name | Kelly S Ellcessor |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 512 Baker Ct, Upper Sandusky, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790087344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN111860 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kelly S Ellcessor, LPN 512 Baker Ct, Upper Sandusky, OH 43351-9069 Ph: (419) 310-0176 | Kelly S Ellcessor, LPN 512 Baker Ct, Upper Sandusky, OH 43351-9069 Ph: (419) 310-0176 |
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