Individual
KELLY JEAN DURKOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
295 DAISY AVE, BEREA, OH 44017-1708
(216) 403-7455
Mailing address
295 DAISY AVE, BEREA, OH 44017-1708
(216) 403-7455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
337379
OH
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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