Individual
DR. KEVIN MICHAEL CHARTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13221 RAVENNA RD, SUITE 9, CHARDON, OH 44024-9047
(440) 286-7420
(440) 286-6354
Mailing address
13221 RAVENNA RD, SUITE 9, CHARDON, OH 44024-9047
(440) 286-7420
(440) 286-6354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-05-5764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0678495
—
OH
Enumeration date
08/29/2005
Last updated
09/24/2008
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