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NPI Code Detail

MEDICARE: KATHRYN ZERESKI

MEDICARE:   KATHRYN  ZERESKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant2863058OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578975413
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ZERESKI
Provider Business Mailing Address
First Line : 4422 W 10TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-3602
Country : US
Telephone Number : 216-459-2079
Fax Number :
Provider Business Practice Location Address
First Line : 4422 W 10TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-3602
Country : US
Telephone Number : 216-459-2079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2014
Last Update Date : 05/27/2014

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Directions to “ KATHRYN ZERESKI ” Practice Location

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