Kelly, Kyle

Kelly, Kyle is an individual health care provider with primary practice located at 5800 Landerbrook Dr Ste 250 , Mayfield Heights OH 44124-4047. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kelly, Kyle can be contacted via phone (440) 646-1600.

Contact Information

Primary practice address
5800 Landerbrook Dr Ste 250 Mayfield Heights OH 44124-4047
Phone: (440) 646-1600
Fax: (440) 646-1505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.00763RX Ohio

Profile Details

NPI number 1457948804
LBN Legal business name Kelly, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2020
Last updated Jun 5th, 2023 - about last year

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.

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