Individual
KELLY LIUFEN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
18660 BAGLEY RD STE 101, MIDDLEBURG HEIGHTS, OH 44130-3483
(440) 973-8400
Mailing address
1374 E 31ST ST, CLEVELAND, OH 44114-4025
(216) 543-6261
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023018844
OH
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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