Individual
KENNETH GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(216) 581-0500
Mailing address
6477 ELMCREST DR, HUDSON, OH 44236-3417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000614
OH
Other
Enumeration date
04/08/2006
Last updated
02/03/2016
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