Individual
KELLIE J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 RIVEREDGE PKWY, BEREA, OH 44017-1114
(216) 299-6752
Mailing address
127 RIVEREDGE PKWY, BEREA, OH 44017-1114
(216) 299-6752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.432102
OH
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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