Kelly Sample
Kelly Sample is a Homemaker in Chardon, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
12065 Nicki LnChardon, OH 44024-8941
Phone: (440) 226-0867
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1427646025 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2021 |
| Last updated in NPPES | January 8, 2021 |
| Certification date | January 8, 2021 |
| Mailing address | 12065 Nicki Ln, Chardon, OH 44024-8941 |
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