Individual
BREANNA A MCKENTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 845-7041
Mailing address
15719 FAYETTE BLVD, BROOKPARK, OH 44142-2812
(216) 633-4706
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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