Individual
MR. DAVID KENNETH PROCTOR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4444 MONTICELLO BLVD, CLEVELAND, OH 44143-2838
(216) 536-7677
Mailing address
4444 MONTICELLO BLVD, CLEVELAND, OH 44143-2838
(216) 536-7677
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
DT.005141
OH
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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