Individual
MISS KEREN COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18507 NEWELL RD, SHAKER HEIGHTS, OH 44122-5160
(216) 254-7777
Mailing address
18507 NEWELL RD, SHAKER HEIGHTS, OH 44122-5160
(216) 254-7777
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391435
—
OH
Enumeration date
09/28/2020
Last updated
09/28/2020
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