Individual
KYLE KETTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17840 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3401
(440) 531-6000
Mailing address
17207 SEDALIA AVE, CLEVELAND, OH 44135-4467
(763) 218-6448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.149217
OH
Other
Enumeration date
04/09/2022
Last updated
09/04/2025
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