Individual
KELLY RAKOCZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
10178 SPINNAKER RUN, REMINDERVILLE, OH 44202-8575
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.14417-NP
OH
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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