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Individual

KATHLEEN CAPUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-7330
Mailing address
3605 WARRENSVILLE CENTER ROAD, 1ST FLOOR, SHAKER HTS, OH 44122
(216) 286-6260
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
045197
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0138372
OH
01
0583328
BCMH
OH
01
377406
ANTHEM BCBS
OH
01
P00633204
MEDICARE RAILROAD
OH
Enumeration date
04/03/2006
Last updated
12/18/2008
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