Individual
MICHELLE D KENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10502 NELSON AVE, CLEVELAND, OH 44105-4253
(216) 973-6377
Mailing address
10502 NELSON AVE, CLEVELAND, OH 44105-4253
(216) 973-6377
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
143979
OH
Other
Enumeration date
08/15/2011
Last updated
08/26/2014
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