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Individual

KYLE ELIZABETH RAJAGOPALAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, ACNP-BC

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 983-4853
Mailing address
2951 DRUMMOND RD, SHAKER HEIGHTS, OH 44120-1831
(734) 474-6324

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.331880
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.09438
OH

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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