NPI 1063647139

Delores Bratley Kinney

Practitioner Contractor Cleveland, OH

Practice location

Address: 3660 E 103rd St, Cleveland, OH 44105-2452
Phone: (216) 854-8412
Mailing address: 975 E 141st St, Cleveland, OH 44110-3478

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 18467412 (OH)

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Registry record

NPI: 1063647139
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2009
Record last updated: 19 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.