Individual
MS. KIMICKO I. ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
835 E 146TH ST, CLEVELAND, OH 44110-3701
(216) 681-4142
Mailing address
835 E 146TH ST, CLEVELAND, OH 44110-3701
(216) 681-4142
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN303402
OH
Other
Enumeration date
11/04/2010
Last updated
03/12/2013
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