Individual
KURT BRUCE HERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3675 W 148TH ST, CLEVELAND, OH 44111-3138
(216) 906-9126
Mailing address
3675 W 148TH ST, CLEVELAND, OH 44111-3138
(216) 906-9126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009839RX
OH
Other
Enumeration date
12/17/2024
Last updated
10/17/2025
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