Individual
KELLY MEYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10321 IGNATIUS AVE, CLEVELAND, OH 44111-2810
(216) 323-7156
Mailing address
10321 IGNATIUS AVE, CLEVELAND, OH 44111-2810
(216) 323-7156
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000968
OH
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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