SearchOhio3747P1801X

Kathleen Banner

NPI 1740169234 · on the registry since 2025 · sole proprietor

Practice

Address
350 Roosevelt Ave
Elyria, OH 44035
Phone
(440) 822-5563

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-28

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