Individual
IAN KINNAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
8877 MENTOR AVE, MENTOR, OH 44060-6211
(440) 205-1225
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0031220
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0031220
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007259
—
OH
Enumeration date
07/29/2022
Last updated
02/16/2026
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