Individual
JONATHAN A KORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 W 25TH ST, CLEVELAND, OH 44113-3148
(216) 831-6466
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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