Individual
BONNIE KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9485 MENTOR AVE STE 210, MENTOR, OH 44060-8723
(440) 255-5571
(440) 205-5744
Mailing address
36000 EUCLID AVE # MSO, WILLOUGHBY, OH 44094-4625
(440) 953-6082
(440) 953-6101
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
COA.18995-NP
OH
Other
Enumeration date
04/05/2016
Last updated
02/25/2021
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