Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 012838 | OH |
NPI | 1659714848 |
---|---|
Provider Name | Kyle Joseph Neale |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 12/06/2017 |