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Contact Information

JUDY M KELLER
328 STANFORD AVENUE
ELYRIA, OH44035
 Phone: 440-281-8051
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
 

Driver

172A00000X
Indicates primary specialty

NPI Profile & details for JUDY M KELLER · (Female)

NPI # 1356932040
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2021
Last updated 01/27/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OH Medicaid 0000232221
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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