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Individual

MRS. KAITLYND NICOLE HANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
6150 PARK AVENUE DR., STE. B, LORAIN, OH 44053-4153
(440) 984-6499
(234) 757-7545
Mailing address
2000 AUBURN DR., STE. 350, BEACHWOOD, OH 44122-4327
(440) 646-1600
(440) 646-1505

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008429RX
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0036653
OH
Enumeration date
04/19/2023
Last updated
10/21/2025
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