Healthcare Provider Details

I. General information

NPI: 1427986371
Provider Name (Legal Business Name): KELLY ANN VARANESE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 ARLINGTON AVE
TOLEDO OH
43609-1997
US

IV. Provider business mailing address

650 SANDRALEE DR
TOLEDO OH
43612-3347
US

V. Phone/Fax

Practice location:
  • Phone: 419-725-6990
  • Fax: 419-382-4603
Mailing address:
  • Phone: 419-725-6990
  • Fax: 419-382-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: