Individual
KYLE RICHNAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6780 MAYFIELD RD, CLEVELAND, OH 44124-2203
(440) 312-4500
Mailing address
3407 STANDISH AVE, PARMA, OH 44134-4255
(440) 289-2256
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
50.006538RX
OH
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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