Individual
MS. KELLYE KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4801
Mailing address
4 LYMAN CIR, SHAKER HEIGHTS, OH 44122-2163
(216) 778-4801
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000038
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2548765
—
OH
Enumeration date
08/23/2005
Last updated
07/08/2007
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