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Individual

MRS. KATHLEEN MARIE MALEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
1025 W 23RD ST, LORAIN, OH 44052-4615
(440) 830-4210
(440) 246-4920
Mailing address
578 N LEAVITT RD, AMHERST, OH 44001-1131
(440) 989-3801
(440) 960-0264

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10476
OH
363LF0000X
Family Nurse Practitioner
Primary
COA10476
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2889343
OH
Enumeration date
01/21/2009
Last updated
02/28/2022
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