Individual
CHRISTOPHER KERMODE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHS MA CMS
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
Primary
—
OH
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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