Individual
MS. KAREN MILLETTE IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1049 EAST 169TH STREET, CLEVELAND, OH 44110
(216) 956-0082
Mailing address
3717 EDGEHILL DRIVE, CLEVELAND, OH 44121-1972
(216) 297-9394
(216) 297-9366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN261173
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167677
OHIO PROVIDER IDENTIFIER
OH
Enumeration date
03/13/2007
Last updated
07/08/2007
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