Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35.122011 | OH |
N | 208600000X | Surgeon | 35.122011 | OH |
Y | 2082S0105X | Plastic Hand Surgeon | 35.122011 | OH |
NPI | 1073792255 |
---|---|
Provider Name | Dr. Kyle James Chepla |
First Address | Pepper Pike, OH 44124-5426 |
Second Address | Cleveland, OH 44109-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2007 |
Last Update Date | 03/01/2017 |