Individual
CANDACE KUCHERAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
105 SHALE CT, BEREA, OH 44017-3130
(440) 785-5392
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.17724-NP
OH
363LG0600X
Gerontology Nurse Practitioner
COA.17724-NP
OH
Other
Enumeration date
07/30/2015
Last updated
11/23/2020
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