Individual
KATHLEEN SIBYL KRESS FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
14701 DETROIT AVE STE 250, LAKEWOOD, OH 44107-4109
(216) 221-5901
(216) 221-5881
Mailing address
14701 DETROIT AVE STE 250, LAKEWOOD, OH 44107-4109
(216) 221-5901
(216) 221-5881
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
RN356026
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.022438
OH
Other
Enumeration date
03/27/2020
Last updated
11/10/2021
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