Pagan Correa, Kayleene E

Pagan Correa, Kayleene E is an individual health care provider with primary practice located at 11100 Euclid Ave 2071 Cornell Road, Modular #3, Cleveland OH 44106-1716. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Pagan Correa, Kayleene E can be contacted via phone (216) 844-8716.

Contact Information

Primary practice address
11100 Euclid Ave 2071 Cornell Road, Modular #3 Cleveland OH 44106-1716
Phone: (216) 844-8716
Fax: (216) 844-8233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17304 Puerto Rico
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 35.099349 Ohio

Profile Details

NPI number 1295912681
LBN Legal business name Pagan Correa, Kayleene E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Nov 26th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295912681 NPPES
Ohio MEDICAID 0067502

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