Individual
KATHRYN BANGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6100 ROCKSIDE WOODS BLVD N, SUITE 425, INDEPENDENCE, OH 44131-2366
(216) 643-2780
Mailing address
25684 HIDDEN ACRES DR, WESTLAKE, OH 44145-4707
(440) 289-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA 15398-NP
OH
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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