Individual
JOSEPH MICHAEL KINKELAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.412052
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433256
—
OH
Enumeration date
02/16/2021
Last updated
03/14/2021
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