Most Relevant Information
Provider Data
| NPI Number: | 1003371014 |
| Provider Name: | KAILYN JOAN RATLIFF LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN.163194.MEDS-IV |
Most Important Dates
| Enumeration Date: | 02/04/2019 |
| Last Updated: | 10/17/2022 |
Provider Practice Location
12557 RAVENWOOD DR
CHARDON
OH
440249009
Practice Location Phone/Fax
| Phone: | 4402853568 |
| Fax: |
Provider Mailing Location
4814 BELLE MEADOW RD
MENTOR
OH
440601119
Provider Mailing Phone/Fax
| Phone: | 4406506488 |
| Fax: |