Individual
BRENDAN J KILBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER ROAD, MSC 9152, SHAKER HTS, OH 44122
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
036-111185
IL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35-082333
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35082333
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021128310001
—
PA
05
—
1407907058
—
MI
05
—
200873430A
—
IN
05
—
2759395
—
OH
05
—
Q82333
—
SC
Enumeration date
01/12/2007
Last updated
10/01/2010
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