Individual
KELLY ALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-5560
(440) 312-5562
Mailing address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-5560
(440) 312-5562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0030922
OH
Other
Enumeration date
05/09/2022
Last updated
09/07/2022
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