Individual
MRS. KERRY KATHLEEN LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4511 ROCKSIDE RD, INDEPENDENCE, OH 44131-2199
(877) 907-0400
Mailing address
PO BOX 127, WESTFIELD CENTER, OH 44251-0127
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
007738
OH
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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