Kevin Paul Ingram

NPI #1396341418 in Medina, Ohio

Provider Information

NPI Number: 1396341418
Entity Type: Individual
Name: Kevin Paul Ingram
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Dec 6, 2020
Last Updated: Feb 18, 2021

Practice Location

Address: 1065 MEDINA RD
City: Medina
State: Ohio
ZIP Code: 44256-5375
Phone: (330) 596-1042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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