Kelly Jean Durkota, RN
Registered Nurse in Berea, OH. Individual provider (NPI-1).
NPI number1104088145
StatusActive
Last updated in NPPESJul 1, 2008
Details
- NPI
- 1104088145
- Entity type
- Individual (NPI-1)
- Name
- Kelly Jean Durkota
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2008
- Last updated
- Jul 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 337379 | OH | Yes |
Practice location
295 Daisy AveBerea, OH 44017-1708
Phone 216-403-7455
Mailing address
295 Daisy AveBerea, OH 44017-1708
Phone 216-403-7455
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