Individual
TAMILA L. KINDWALL- KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
0102202838
VA
207RH0000X
Hematology (Internal Medicine) Physician
34.007582
OH
207RH0003X
Hematology & Oncology Physician
Primary
34.007582
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224462
UNISON
OH
01
—
000000539573
ANTHEM
OH
05
—
200485360
—
IN
05
—
2489196
—
OH
01
—
363704
WELLCARE
OH
05
—
64086093
—
KY
01
—
7001627
AETNA
OH
01
—
730908
BUCKEYE
OH
01
—
P00432049
RAILROAD MEDICARE
—
Enumeration date
08/31/2005
Last updated
11/03/2023
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