Individual
KEVIN W. ROTONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1732 MAPLE ST, WICKLIFFE, OH 44092-2423
(440) 409-1317
Mailing address
1732 MAPLE ST., WICKLIFFE, OH 44092
(440) 409-1317
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.001499
OH
363AS0400X
Surgical Physician Assistant
50.001499
—
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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