Individual
DR. PAUL L CHESIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 E MAIN ST, BOX 328, KENT, OH 44240-5818
(330) 593-1049
(330) 572-3836
Mailing address
1675 E MAIN ST, BOX 328, KENT, OH 44240-5818
(330) 593-1049
(330) 572-3836
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35.122933
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098946
—
OH
05
—
100285030C
—
KS
05
—
100285030D
—
KS
05
—
100285030E
—
KS
05
—
203108634
—
MO
01
—
23979028
BCBS OF KC MO
MO
01
—
23979118
BCBS KC GRP#18959016
MO
01
—
P00475725
RAILROAD MEDICARE
MO
Enumeration date
06/10/2005
Last updated
08/29/2016
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