Individual
DR. GREGORY PAUL KEZELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3737 PARK EAST DR STE 109, BEACHWOOD, OH 44122-4329
(216) 464-7333
(216) 464-2696
Mailing address
3737 PARK EAST DR STE 109, BEACHWOOD, OH 44122-4329
(216) 464-7333
(216) 342-5462
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
35057308
OH
207Q00000X
Family Medicine Physician
35-057308
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339410
ANTHEM
OH
05
—
2255705
—
OH
01
—
264200000
DEPT OF LABOR
OH
01
—
341425870042
MEDICAL MUTUAL OF OHIO
OH
01
—
6600162
RAILROAD
OH
01
—
80507
QUALCHOICE
OH
01
—
9379701
GROUP MEDICARE PTAN
OH
01
—
DO6570
GROUP MEDICARE RAILROAD PTAN
OH
01
—
H152671
MEDICARE INDIVIDUAL PTAN
OH
01
—
P01371818
MEDICARE RAILROAD INDIVIDUAL PTAN
OH
Enumeration date
03/24/2006
Last updated
10/30/2023
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