Individual
KYLE MCKELVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9601 CHESTER AVE, CLEVELAND, OH 44106-1666
(402) 212-6996
Mailing address
1103 DORSH RD, SOUTH EUCLID, OH 44121-3833
(402) 212-6996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.028005
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2025
Last updated
05/20/2025
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