Individual
KRISTEN PORVASNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 ROCKSIDE RD STE 200, INDEPENDENCE, OH 44131-2316
(216) 674-5230
(216) 674-5231
Mailing address
6701 ROCKSIDE RD STE 200, INDEPENDENCE, OH 44131-2316
(216) 674-5230
(216) 674-5231
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000347
OH
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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