# VA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275621435
- **Authorized official:** MISS CHERYL KYLE (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (440) 526-3030

## Contact information

- **Practice address:** 10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
- **Practice address phone:** (440) 526-3030
- **Mailing address:** 4950 RICHMOND RD, CLEVELAND, OH 44128-5924
- **Mailing address phone:** (216) 831-7983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | 143466 | OH | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 10/27/2008