Individual
ERIC F KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110-2602
(216) 383-2222
Mailing address
25614 1ST ST, WESTLAKE, OH 44145-1430
(440) 617-9351
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN105606
OH
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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