Individual
KATHERINE SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5219
(330) 883-9805
Mailing address
2114 KNAPP DR, CORTLAND, OH 44410-1763
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005158RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144103
NCCPA
—
01
—
50.005158RX
PHYSICIAN ASSISTANT LICENSE
OH
Enumeration date
07/17/2017
Last updated
03/17/2018
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