Organization
KIDSFIRST PEDIATRICS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE OTTO (OFFICE MANAGER)
(440) 918-0501
Entity
Organization
Contact information
Practice address
35010 CHARDON RD, SUITE 205, WILLOUGHBY, OH 44094-9010
(440) 918-0501
(440) 918-0525
Mailing address
35010 CHARDON RD, SUITE 205, WILLOUGHBY, OH 44094-9010
(440) 918-0501
(440) 918-0525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2573826
—
OH
Enumeration date
08/12/2006
Last updated
05/02/2013
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