Individual
KAHLA GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 STONEY RUN TRL, BROADVIEW HEIGHTS, OH 44147-2555
(440) 315-4511
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 286-5595
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN.368003-COA17217
OH
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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