Dr. Kayleene E Pagan Correa
Pediatrician Pediatric Emergency Physician
11100 Euclid Ave 2071 Cornell Road, Modular #3
Cleveland
, Ohio 44106-1716
Dr. Kayleene E Pagan Correa
Pediatrician Pediatric Emergency Physician
11100 Euclid Ave 2071 Cornell Road, Modular #3
Cleveland
, Ohio 44106-1716
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Kayleene E Pagan Correa
- 24701 Euclid Ave 3rd Floor
- Euclid, OH
- Zip : 44117-1714
- Phone :
Second Address
- Dr. Kayleene E Pagan Correa
- 11100 Euclid Ave 2071 Cornell Road, Modular #3
- Cleveland, OH
- Zip : 44106-1716
- Fax : (216) 844-8233
- Phone : (216) 844-8716
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 35.099349 | OH |
| N | 208000000X | Pediatrician | 17304 | PR |
National Provider Identifier
| NPI | 1295912681 |
|---|---|
| Provider Name | Dr. Kayleene E Pagan Correa |
| First Address | Euclid, OH 44117-1714 |
| Second Address | Cleveland, OH 44106-1716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2008 |
| Last Update Date | 26/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0067502 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.