Kelly A Dotson
Individual provider Active NPI Homemaker · Sunbury, OH
NPI 1154936458 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1154936458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 566 S Columbus St
Sunbury, OH 43074-9129 - Phone
- (614) 806-5005
- NPI assigned
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Supports Brokerage Agency | 251X00000X | |||
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
566 S Columbus St
Sunbury, OH 43074-9129
Mailing address
566 S Columbus St
Sunbury, OH 43074-9129
Phone (614) 806-5005
Other providers in Sunbury, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.