Search › Ohio › 111N00000X
Kelly Roush Icenhower, DC
NPI 1629018320 · on the registry since 2006
Practice
- Address
- 1051 4th Ave
Gallipolis, OH 45631 - Phone
- (740) 446-5244
- Fax
- (740) 446-5565
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- WV, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-01
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