Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 58.030639 | OH |
NPI | 1982049250 |
---|---|
Provider Name | Karlee Krystin Hoffman |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-4756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2013 |
Last Update Date | 21/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
58.030639 | (05) | OH |