Individual
MR. TOM W KONTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1950 BYRON DR, BRUNSWICK, OH 44212-4002
(216) 244-4003
Mailing address
1950 BYRON DR, BRUNSWICK, OH 44212-4002
(216) 244-4003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN431068
OH
163WH0200X
Home Health Registered Nurse
Primary
RN431068
OH
Other
Enumeration date
05/14/2007
Last updated
09/05/2019
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