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NPI Code Detail

MEDICARE: KELLY JEAN STOKES

MEDICARE:   KELLY JEAN STOKES
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1871342634
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY JEAN STOKES
Provider Business Mailing Address
First Line : 2341 14TH ST NE
Second Line :
City : CANTON
State : OH
Zip : 44705-1927
Country : US
Telephone Number : 330-639-5516
Fax Number :
Provider Business Practice Location Address
First Line : 2341 14TH ST NE
Second Line :
City : CANTON
State : OH
Zip : 44705-1927
Country : US
Telephone Number : 330-639-5516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2024
Last Update Date : 05/15/2024

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Directions to “ KELLY JEAN STOKES ” Practice Location

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