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Individual

KELLY BANKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 578-8200
(440) 534-1985
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 578-8200
(440) 534-1985

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.310406
OH

Other

Enumeration date
01/08/2020
Last updated
01/08/2020
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