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Kevin Ingram

NPI 1396341418 · on the registry since 2020 · sole proprietor

Practice

Address
1065 Medina Rd
Medina, OH 44256
Phone
(330) 596-1042
Fax
(614) 515-5779
Clinicians at this address
52

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio