Individual
KELLY OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2223 W 103, CLEVELAND, OH 44102
(216) 253-8532
Mailing address
2084 W 103RD ST, CLEVELAND, OH 44102-3525
(216) 598-0940
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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