Kaufman, Kellye
Kaufman, Kellye is an sole proprietor health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Kaufman, Kellye can be contacted via phone (216) 778-4801.Contact Information
Primary practice address
2500 Metrohealth Dr
Cleveland OH 44109-1900
Phone: (216) 778-4801
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 67000038 | Ohio |
Profile Details
NPI number | 1710970082 |
---|---|
LBN Legal business name | Kaufman, Kellye |
Credentials | AA-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 23rd, 2005 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710970082 | NPPES |
Ohio | MEDICAID | 2548765 |
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