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Individual

MRS. CAROL LYNN KESSEL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
370 WALNUT DR, BEREA, OH 44017
(440) 891-1953
Mailing address
17940 BENNETT RD, NORTH ROYALTON, OH 44133
(440) 237-6401

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN036034
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2272508
OH
Enumeration date
04/19/2006
Last updated
07/08/2007
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