Marks, Kelly Diane

Marks, Kelly Diane is an sole proprietor health care provider with primary practice located at 3145 Standish Ave Sw , Canton OH 44706-3250. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Marks, Kelly Diane can be contacted via phone (330) 224-2333.

Contact Information

Primary practice address
3145 Standish Ave Sw Canton OH 44706-3250
Phone: (330) 224-2333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1295340701
LBN Legal business name Marks, Kelly Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2020
Last updated Sep 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295340701 NPPES
Ohio MEDICAID 7611065

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