Individual
AMBER KNOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
3363 ERHART RD, LITCHFIELD, OH 44253-9127
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000281
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67.000281
OHIO LICENSE
OH
Enumeration date
06/10/2014
Last updated
09/12/2016
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