Individual
KEVIN CASEBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
17474 SHAW AVE, LAKEWOOD, OH 44107-2217
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57013475
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2960952
—
OH
Enumeration date
10/16/2007
Last updated
02/16/2010
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