Individual
JAY C KLEMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-3800
Mailing address
1874 CLEVELAND RD, WOOSTER, OH 44691-2263
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35052120
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230992
UNISON
OH
01
—
000000550699
ANTHEM
OH
05
—
0783666
—
OH
01
—
421807
WELLCARE
OH
01
—
4479379
AETNA
OH
01
—
734158
BUCKEYE
OH
01
—
KL0658923
MEDICARE ID
—
Enumeration date
04/21/2006
Last updated
05/31/2018
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