Individual
MRS. ANITA LOUISE KELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
(440) 526-3030
(440) 838-6085
Mailing address
4379 BROOKS RD, CLEVELAND, OH 44105-6009
(216) 429-1761
(216) 429-1823
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
106682
OH
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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