Organization
GENERATION X INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL KAPPENHAGEN DSP (OWNER)
(216) 356-2380
Entity
Organization
Contact information
Practice address
4350 W 28TH ST, CLEVELAND, OH 44109-4167
(216) 356-2380
Mailing address
4350 W 28TH ST, CLEVELAND, OH 44109-4167
(216) 356-2380
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
208D00000X
General Practice Physician
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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