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Kelly Jo Wallen
Licensed Practical Nurse in Springfield, Ohio
NPI 1578225637

Kelly Jo Wallen is a Licensed Practical Nurse based in Springfield, OH. Kelly Jo Wallen practices in Springfield, OH. The NPI Number for Kelly Jo Wallen is 1578225637 and holds a License No. LPN.155614.MEDS-IV (Ohio).

The current practice location address for Kelly Jo Wallen is 287 E. Leffel Lane, Springfield, OH and can be reached out via phone at 937-342-3041 and via fax at 937-342-4497.

Location: 287 E. Leffel Lane, Springfield, OH, 45505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578225637
Provider Name
Kelly Jo Wallen
Credential
Provider Entity Type
Individual
Gender
Female
Address
287 E. Leffel Lane, Springfield, OH, 45505
Phone Number
937-342-3041
Fax Number
937-342-4497
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
287 E. Leffel Lane
City
Springfield
State
Ohio
Zip
45505
Phone Number
937-342-3041
Fax Number
937-342-4497
person
Provider Business Mailing Address Details
Address
287 E. Leffel Lane
City
Springfield
State
Ohio
Zip
45505
Phone Number
937-342-3041
Fax Number
937-342-4497
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN.155614.MEDS-IV (Ohio)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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