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NPI Code Detail

MEDICARE: KELLEN ELOISE HERRING

MEDICARE: KELLEN ELOISE HERRING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1114878857
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLEN ELOISE HERRING
Provider Business Mailing Address
First Line : 5982 RHODES RD
Second Line :
City : KENT
State : OH
Zip : 44240-8100
Country : US
Telephone Number : 330-673-1347
Fax Number : 330-678-3677
Provider Business Practice Location Address
First Line : 740 N 6TH AVE
Second Line :
City : STEUBENVILLE
State : OH
Zip : 43952-1844
Country : US
Telephone Number : 740-996-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ KELLEN ELOISE HERRING ” Practice Location

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