Individual
MR. KEVIN DAVID NEWARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 LAURENT DR APT 709, CLEVELAND, OH 44129-5965
(216) 339-9664
Mailing address
6100 LAURENT DR APT 709, CLEVELAND, OH 44129-5965
(216) 339-9664
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
1831346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831346
—
OH
Enumeration date
11/20/2020
Last updated
11/20/2020
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