Provider Demographics
NPI:1851993869
Name:KELBLEY, LINDSAY L
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:L
Last Name:KELBLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22049 STATE ROUTE 613
Mailing Address - Street 2:
Mailing Address - City:FOSTORIA
Mailing Address - State:OH
Mailing Address - Zip Code:44830-9603
Mailing Address - Country:US
Mailing Address - Phone:419-957-0185
Mailing Address - Fax:
Practice Address - Street 1:233 S US HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:FOSTORIA
Practice Address - State:OH
Practice Address - Zip Code:44830-9685
Practice Address - Country:US
Practice Address - Phone:419-722-3362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide