Individual
AMY D CLEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 E DOROTHY LN, KETTERING, OH 45420-1176
(937) 610-9174
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0031583
OH
Other
Enumeration date
08/29/2022
Last updated
05/14/2025
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