Individual
DR. KE-NI N TIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-5128
(216) 444-5037
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-5037
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28173680
IN
363LN0000X
Neonatal Nurse Practitioner
71002551
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP11513
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200942900
—
IN
Enumeration date
12/21/2007
Last updated
11/16/2021
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