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Individual

KELLIE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7575 NORTHCLIFF AVE, BROOKLYN, OH 44144-3267
(440) 785-4769
Mailing address
2532 HAMPTON RD, ROCKY RIVER, OH 44116-2545
(440) 785-4769

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2019081900
OH

Other

Enumeration date
08/08/2020
Last updated
08/08/2020
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