Provider Demographics
NPI:1982485769
Name:KELKER, JANICE
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:
Last Name:KELKER
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 1:926 SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-1151
Mailing Address - Country:US
Mailing Address - Phone:770-873-2545
Mailing Address - Fax:
Practice Address - Street 1:926 SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-1151
Practice Address - Country:US
Practice Address - Phone:770-873-2545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health