Organization
VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHERYL KYLE (FAMILY NURSE PRACTITIONER)
(440) 526-3030
Entity
Organization
Contact information
Practice address
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
(440) 526-3030
Mailing address
4950 RICHMOND RD, CLEVELAND, OH 44128-5924
(216) 831-7983
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
143466
OH
Other
Enumeration date
10/11/2006
Last updated
10/27/2008
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