Individual provider · NPI-1

Kelly Renet Acoff, LPN

Licensed Practical Nurse · Cleveland, OH

NPI number1710327135
StatusActive
Last updated in NPPESJun 29, 2013

Details

NPI
1710327135
Entity type
Individual (NPI-1)
Name
Ms. Kelly Renet Acoff
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 29, 2013
Last updated
Jun 29, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NursePN.152529OHYes

Practice location

9411 Lamont Ave
Cleveland, OH 44106-4112

Phone 216-209-9231

Mailing address

9411 Lamont Ave
Cleveland, OH 44106-4112

Phone 216-209-9231

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