Individual
KENNETH CHARLES BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA,PEER SUPPOT
Contact information
Practice address
5257 ASHWOOD DR, LYNDHURST, OH 44124-1037
(216) 870-9796
Mailing address
5257 ASHWOOD DR, LYNDHURST, OH 44124-1037
(216) 870-9796
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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