Individual
KATHRYN HANNEMAN SKROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3999 RICHMOND RD, BEACHWOOD, OH 44122-6046
(216) 844-3800
Mailing address
7491 E ORALEE LN, HUDSON, OH 44236-5359
(440) 478-0862
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
COA.18345-NP
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
COA.18345-NP
OH
363LP2300X
Primary Care Nurse Practitioner
COA.18345-NP
OH
Other
Enumeration date
02/04/2016
Last updated
01/13/2021
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