Individual
KELLY JOY STAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
5550 VENTURE DR, PARMA, OH 44130-9315
(216) 201-2000
Mailing address
6020 PEARL RD, PARMA HEIGHTS, OH 44130-2007
(419) 651-4111
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN.393241
OH
Other
Enumeration date
06/23/2023
Last updated
11/28/2023
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