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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLY LEE ROACH, LPN

Active Sole Proprietor

Licensed Practical Nurse · JEFFERSON, OH

Registration Details

NPI Number
1417077223
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2007 (19.082426354199 yrs)
Last Updated
Jun 18, 2009
License
PN . 109453 (OH)
Sole Proprietor
Yes

Practice Information

Address
173 W CEDAR ST
JEFFERSON, OH, 440471380
Browse OH providers · Browse ZIP 44047
Phone
4405763066
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in JEFFERSON, OH

Name Credential NPI
MRS. SHERYL LYNN CUDDY 1629043211
STEPHANIE CANDELA LPN 1457390395
MR. ROBYN DIANE DODRILL LPN 1184843542
MS. KATHRYN ROSE DREW LPN 1144405978
MR. CRISPIN SZITAS LPN 1306022389
MRS. JADE CHERE' WOOD LPN 1669632907
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.