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Jack Kegley, PC
NPI 1639573165 · on the registry since 2014 · sole proprietor
Practice
- Address
- 950 Meadow Dr Ste A
Mount Gilead, OH 43338 - Phone
- (419) 947-4560
- Fax
- (419) 947-2956
- Organisation at this address
- Southeast, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 34
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio