Individual
KERRY DOYLE CHRISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
11100 EUCLID AVE, PEDIATRIC SURGERY OFFICE 122 MAILSTOP 6015, CLEVELAND, OH 44106
(216) 844-3015
(216) 844-8687
Mailing address
11100 EUCLID AVE, PEDIATRIC SURGERY OFFICE 122 MAILSTOP 6015, CLEVELAND, OH 44106-1716
(216) 844-3015
(216) 844-8687
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
20121452
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
20121612
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
COA.13684-NP
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
CTP:13684
OH
Other
Enumeration date
07/27/2012
Last updated
01/14/2021
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