Individual
MS. DELORES BRATLEY KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 E 103RD ST, CLEVELAND, OH 44105-2452
(216) 854-8412
Mailing address
975 E 141ST ST, CLEVELAND, OH 44110-3478
(216) 854-8412
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
18467412
OH
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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