Individual
KATHLEEN MICHELLE BANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 ROOSEVELT AVE, ELYRIA, OH 44035-3950
(440) 822-5563
Mailing address
350 ROOSEVELT AVE, ELYRIA, OH 44035-3950
(440) 822-5563
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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