Individual
KIANA S CHAPPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 LAKEFRONT AVE, EASTCLEVELAND, OH 44112
(216) 860-2578
Mailing address
1635 LAKEFRONT AVE, EASTCLEVELAND, OH 44112
(216) 860-2578
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
TM908743
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
993739
—
OH
Enumeration date
04/11/2022
Last updated
04/11/2022
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