Kelly Banker

NPI #1952941882 in Willoughby, Ohio

Provider Information

NPI Number
1952941882
Entity Type
Individual
Name
Kelly Banker
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Enumeration Date
Jan 8, 2020
Last Updated
Jan 8, 2020

Practice Location

Address
38882 MENTOR AVE
State
Ohio
ZIP Code
44094-7875
Phone
(440) 578-8200

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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