# GREGORY P KEZELE MD LLC

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

## Provider details

- **NPI number:** 1821728478
- **Authorized official:** DR. GREGORY P KEZELE MD (OWNER)
- **Authorized official phone:** (440) 413-0499

## Contact information

- **Practice address:** 36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
- **Practice address phone:** (440) 918-6341
- **Practice address fax:** (440) 918-6342
- **Mailing address:** 601 CLINTON LN, HIGHLAND HTS, OH 44143-1962
- **Mailing address phone:** (440) 413-0499
- **Mailing address fax:** (440) 446-9095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2022
- **Last updated:** 06/15/2022