Individual
KRISTIN ANNE PROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9500 EUCLID AVE, M2 ANNEX, CLEVELAND, OH 44195-0001
(216) 444-0933
(216) 444-8530
Mailing address
9500 EUCLID AVE, M2 ANNEX, CLEVELAND, OH 44195-7112
(216) 444-0933
(216) 444-8530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.009916
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3109675
—
OH
Enumeration date
05/05/2008
Last updated
03/17/2011
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