Individual
CAROLYN M KERCSMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
35-046322
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028168
ANTHEM
OH
01
—
000000526034
ANTHEM
OH
05
—
0496486
—
OH
01
—
496486
BCMH
OH
01
—
639844
AETNA
OH
Enumeration date
07/16/2006
Last updated
11/14/2007
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