Individual
KATHRYN STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-5400
(216) 299-0812
Mailing address
2914 W 14TH ST, CLEVELAND, OH 44113-5219
(301) 788-6293
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.145480
OH
Other
Enumeration date
03/31/2015
Last updated
06/22/2022
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