Individual
KELLY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-7350
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-7350
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
12402-NP
OH
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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